Healthcare Provider Details

I. General information

NPI: 1962329847
Provider Name (Legal Business Name): ASHLAND FREE MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E LEWELLING BLVD RM S-5
ASHLAND CA
94580-1732
US

IV. Provider business mailing address

6668 DANRIDGE DR
SAN JOSE CA
95129-2925
US

V. Phone/Fax

Practice location:
  • Phone: 510-407-2362
  • Fax: 888-844-8247
Mailing address:
  • Phone: 510-407-2362
  • Fax: 888-844-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RANGARAJAN JAYARAMAN
Title or Position: CLINIC ADMINISTRATOR & CFO
Credential: PHD
Phone: 408-396-0363