Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
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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