Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
GARDNER FAMILY HEALTH NETWORK INC
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA RUIZ (DIRECTOR)
(408) 935-3971
Entity
Organization
Contact information
Practice address
1621 GOLD STREET, ALVISO, CA 95002-1240
(408) 935-3933
(408) 935-3988
Mailing address
PO BOX 1240, 1621 GOLD STREET, ALVISO, CA 95002-1240
(408) 935-3933
(408) 935-3988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
070000007
CA
261QC1500X
Community Health Clinic/Center
070000045
CA
261QC1500X
Community Health Clinic/Center
070000152
CA
261QC1500X
Community Health Clinic/Center
070000179
CA
261QC1500X
Community Health Clinic/Center
070000481
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC70262F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051150
—
CA
05
—
751005
—
CA
05
—
FHC11001F
—
CA
05
—
FHC11531F
—
CA
05
—
FHC70014F
—
CA
05
—
FHC70262F
—
CA
05
—
FHC70872F
—
CA
Enumeration date
06/06/2006
Last updated
10/29/2025
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