Organization
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SCHWAB-GALINDO (CHIEF EXECUTIVE OFFICER)
(510) 460-3855
Entity
Organization
Contact information
Practice address
33255 9TH ST, UNION CITY, CA 94587-2137
(510) 471-5880
(510) 471-9051
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 690-6052
(510) 690-0703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
140000504
CA
261Q00000X
Clinic/Center
140000705
CA
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1103
MEDICARE FQHC
CA
01
—
CA118859
MEDICARE PTAN PART B
CA
01
—
EAP11635F
EDS
—
05
—
FHC11635F
—
CA
01
—
FHC70476F
MEDICAL
CA
01
—
FHC70644F
MEDICAL
CA
01
—
HAP11635F
EDS
—
01
—
ZZZ75101Z
MEDICARE
CA
Enumeration date
10/06/2005
Last updated
12/06/2021
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