Healthcare Provider Details

I. General information

NPI: 1669403390
Provider Name (Legal Business Name): AXIS COMMUNITY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
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

5925 W LAS POSITAS BLVD STE 100
PLEASANTON CA
94588-8537
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-5544
  • Fax: 925-201-6016
Mailing address:
  • Phone: 925-462-1755
  • Fax: 925-417-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number140000043
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License NumberA0610721
License Number StateCA

VIII. Authorized Official

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