| Asian Americans For Community Involvement Of Santa Clara County | |
|
2400 Moorpark Ave Suite 319 San Jose CA 95128 | |
| (408) 975-2763 | |
| (408) 975-2764 |
| Full Name | Asian Americans For Community Involvement Of Santa Clara County |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 Moorpark Ave, San Jose, California |
| Authorized Official Name and Position | Sarita Kohli (PRESIDENT & CEO) |
| Authorized Official Contact | 4089752730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asian Americans For Community Involvement Of Santa Clara County 2400 Moorpark Ave Suite 319 San Jose CA 95128 Ph: (408) 975-2763 | Asian Americans For Community Involvement Of Santa Clara County 2400 Moorpark Ave Suite 319 San Jose CA 95128 Ph: (408) 975-2763 |
| NPI Number | 1750490363 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/14/2020 |
| Certification Date | 08/14/2020 |
| Medicare PECOS PAC ID | 7719880533 |
|---|---|
| Medicare Enrollment ID | O20040129000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750490363 | NPI | - | NPPES |
| FHC70850F | Medicaid | CA | |
| BCP70850F | Other | CA | MEDICAID BCP PROGRAM |
| EAP70850F | Other | CA | MEDICAID EAPC PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Irina Bronstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972681039 PECOS PAC ID: 8123925278 Enrollment ID: I20031216000918 |
| Provider Name | Daryn S Reicherter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063569721 PECOS PAC ID: 6305731985 Enrollment ID: I20040220001120 |
| Provider Name | Wangping Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043239569 PECOS PAC ID: 2567482276 Enrollment ID: I20051123000655 |
| Provider Name | Naima Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811193477 PECOS PAC ID: 3173683679 Enrollment ID: I20081113000289 |
| Provider Name | Nira Singh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487830873 PECOS PAC ID: 8820134919 Enrollment ID: I20091002000301 |
| Provider Name | Jan B Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780765255 PECOS PAC ID: 4587707880 Enrollment ID: I20100209000536 |
| Provider Name | Duy J Pham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821258252 PECOS PAC ID: 0840452470 Enrollment ID: I20120427000163 |
| Provider Name | Mio Hidaka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831468388 PECOS PAC ID: 5799913059 Enrollment ID: I20140113000231 |
| Provider Name | Phung G Tieu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982814349 PECOS PAC ID: 9436468279 Enrollment ID: I20151019001995 |
| Provider Name | Poorva Kamath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407245947 PECOS PAC ID: 0143530378 Enrollment ID: I20151030000811 |
| Provider Name | Rebecca Fewel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396052833 PECOS PAC ID: 6800196627 Enrollment ID: I20151201001785 |
| Provider Name | Hela Issaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700141652 PECOS PAC ID: 2062721293 Enrollment ID: I20160105002842 |
| Provider Name | Yang Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093006983 PECOS PAC ID: 4789982711 Enrollment ID: I20160407001405 |
| Provider Name | Swapnaja Chandrachood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992934947 PECOS PAC ID: 5496988610 Enrollment ID: I20171012000926 |
| Provider Name | Andrew Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689732687 PECOS PAC ID: 9436314317 Enrollment ID: I20180312001932 |
| Provider Name | Annie Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902192024 PECOS PAC ID: 6103180021 Enrollment ID: I20180501001028 |
| Provider Name | Asja Serdarevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013403294 PECOS PAC ID: 5294068136 Enrollment ID: I20190610001167 |
| Provider Name | John Vinh Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326421827 PECOS PAC ID: 4486988912 Enrollment ID: I20190702003547 |
| Provider Name | Margaret Madu-green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558852962 PECOS PAC ID: 5395077242 Enrollment ID: I20191028000681 |
| Provider Name | Vanndy L Loth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851737688 PECOS PAC ID: 7618397738 Enrollment ID: I20201012001217 |
| Provider Name | Weilin Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447607189 PECOS PAC ID: 5890100473 Enrollment ID: I20210211001988 |
| Provider Name | Vira Fomenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023512456 PECOS PAC ID: 1254749773 Enrollment ID: I20210920002661 |
| Provider Name | Navdeep Bamrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528550027 PECOS PAC ID: 5799036430 Enrollment ID: I20210921002953 |
| Provider Name | Yoe M Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871196865 PECOS PAC ID: 0345634606 Enrollment ID: I20220302001484 |
| Provider Name | Kyongohk Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891161741 PECOS PAC ID: 4486048758 Enrollment ID: I20220302001728 |
| Provider Name | Kimberly Nicole Javier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528356227 PECOS PAC ID: 2860887338 Enrollment ID: I20220318002155 |
| Provider Name | Doribeth Tardillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720330681 PECOS PAC ID: 6406242536 Enrollment ID: I20220329002917 |
| Provider Name | Xin Lyu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407338601 PECOS PAC ID: 5991183261 Enrollment ID: I20220531000155 |
| Provider Name | Joseph Bernard Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649758962 PECOS PAC ID: 4880945872 Enrollment ID: I20220609001065 |
| Provider Name | Felicia Grabowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584232 PECOS PAC ID: 1456736354 Enrollment ID: I20220913002471 |
| Provider Name | Yiyi Yin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619341245 PECOS PAC ID: 1759767379 Enrollment ID: I20221006002938 |
| Provider Name | Lucia Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386148807 PECOS PAC ID: 2668884693 Enrollment ID: I20221205002472 |
| Provider Name | Nagaratnamma Madireddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356337505 PECOS PAC ID: 0143317552 Enrollment ID: I20221213001248 |
| Provider Name | Xiyue Wang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205340999 PECOS PAC ID: 3870946494 Enrollment ID: I20240131001330 |
| Provider Name | Yulinglong Li |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205328184 PECOS PAC ID: 7911340864 Enrollment ID: I20240207002137 |
| Provider Name | Wei-yun Hsieh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457907677 PECOS PAC ID: 2264875178 Enrollment ID: I20240207004233 |
| Provider Name | Kenia Mendoza Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306347380 PECOS PAC ID: 7012351257 Enrollment ID: I20240215003597 |
| Provider Name | Tung Thanh Tran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366709875 PECOS PAC ID: 4789020165 Enrollment ID: I20240307001934 |
| Provider Name | Hannah Eileen Dawley Ly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982236329 PECOS PAC ID: 8527404755 Enrollment ID: I20240311002817 |
| Provider Name | Bobby Farhat |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093141640 PECOS PAC ID: 5890133805 Enrollment ID: I20240409003481 |
| Provider Name | Faranak Hooman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487039541 PECOS PAC ID: 5496197238 Enrollment ID: I20240524002804 |
| Provider Name | Shannon Thuy Nhi Trinh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326791765 PECOS PAC ID: 0446793319 Enrollment ID: I20240619002589 |
| Provider Name | Yu-ting Yuan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679055867 PECOS PAC ID: 0941745038 Enrollment ID: I20240712002685 |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Pacific Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 | |
Sondermind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 | |
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Mac Duee Ct., San Jose, CA 95121 Phone: 609-694-1872 |