UNICARE COMMUNITY HEALTH CENTER INC (NPI# 1003373812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003373812 |
| Entity Type | Organization |
| Organization Name | UNICARE COMMUNITY HEALTH CENTER INC |
| Practice Address |
17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 |
| Mailing Address |
437 N Euclid Ave Ontario CA 91762-3456 |
| Practice Telephone | 9094280170 |
| Mailing Telephone | 9097491835 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | AVETIK MACHKALYAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9099882555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748922 | Unicare Community Health Center Inc | Clinic/Center | 184 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-06-11 |
| 1093369340 | Unicare Community Health Center Inc | Clinic/Center | 123 W E St, Ontario, CA 91762-3400 | 2019-07-25 |
| 1285193466 | Unicare Community Health Center Inc | Clinic/Center | 741 S Alvarado St, Los Angeles, CA 90057-4021 | 2019-03-18 |
| 1205393238 | Unicare Community Health Center Inc | Clinic/Center | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-02-26 |
| 1881151827 | Unicare Community Health Center Inc | Clinic/Center | 24853 Alessandro Blvd Ste 4, Moreno Valley, CA 92553-6102 | 2019-02-26 |
| 1043777089 | Unicare Community Health Center Inc | Clinic/Center | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2019-02-26 |
| 1215494257 | Unicare Community Health Center Inc | Clinic/Center | 1151 E Walnut St, Ontario, CA 91761-6155 | 2019-02-26 |
| 1265999296 | Unicare Community Health Center Inc | Clinic/Center | 107 N Mckinley St, Corona, CA 92879-6561 | 2019-02-26 |
| 1720571789 | Unicare Community Health Center Inc | Clinic/Center | 741 S Alvarado St, Los Angeles, CA 90057-4021 | 2018-06-13 |
| Street Address |
17500 FOOTHILL BLVD STE A2 |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861454993 | Sophia Beyene | Family Medicine | 17500 Foothill Blvd Ste A2, Fontana, CA 92335-3798 | 2006-04-04 |
| 1689788085 | Molina Healthcare of California | Internal Medicine | 17500 Foothill Blvd Ste A2, Fontana, CA 92335-3798 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901959 | Borrego Community Health Foundation | Clinic/Center | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2020-01-14 |
| 1619330438 | Central Neighborhood Health Foundation | Clinic/Center | 17695 Arrow Blvd, Fontana, CA 92335 | 2016-03-30 |
| 1174984041 | Unicare Community Health Center, Inc. | Clinic/Center | 16127 Foothill Blvd, Fontana, CA 92335-3374 | 2016-03-18 |
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| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.