Healthcare Provider Details

I. General information

NPI: 1124461397
Provider Name (Legal Business Name): AXIS COMMUNITY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4361 RAILROAD AVE
PLEASANTON CA
94566-6611
US

IV. Provider business mailing address

4361 RAILROAD AVE
PLEASANTON CA
94566-6611
US

V. Phone/Fax

Practice location:
  • Phone: 925-968-9487
  • Fax:
Mailing address:
  • Phone: 925-968-9487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number22759
License Number StateCA

VIII. Authorized Official

Name: ELIZABETH PEREZ-HOWE
Title or Position: CEO
Credential:
Phone: 925-462-1755