MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. (NPI# 1063613263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063613263 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. |
| Other Organization Name | ESCONDIDO FAMILY MEDICINE |
| Practice Address |
255 N Ash St Ste 101 Escondido CA 92027-3069 |
| Mailing Address |
31115 Highway 94 Campo CA 91906-3133 |
| Practice Telephone | 7607455832 |
| Practice Fax Number | 7607457847 |
| Mailing Telephone | 6194785254 |
| Mailing Fax Number | 6194789164 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | JUDITH SHAPLIN (CEO) |
| Authorized Official Telephone | 6194456200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550000560 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE PROGRAM | HAP71188F | 01 |
| CA | STATE PROGRAM | BCP71188F | 01 |
| CA | FHC71188F | 05 |
| Other Name | Type Code |
|---|---|
| Escondido Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245893072 | Mountain Health & Community Services, Inc. | Clinic/Center | 4440 Euclid Ave Ste C, San Diego, CA 92115-4522 | 2019-04-17 |
| 1336592740 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Road, Campo, CA 91906 | 2016-07-20 |
| 1326229477 | Mountain Health & Community Services, Inc. | Clinic/Center | 3291 Buckman Springs Rd, Pine Valley, CA 91962-4003 | 2007-11-16 |
| 1861603151 | Mountain Health & Community Services, Inc. | Clinic/Center | 316 25th St, San Diego, CA 92102-3016 | 2007-05-25 |
| 1255499075 | Mountain Health & Community Services, Inc. | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2006-12-05 |
| 1740358258 | Mountain Health & Community Services, Inc. | Clinic/Center | 44460 Old Hwy 80, Jacumba, CA 91934 | 2006-12-01 |
| 1982658142 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Rd, Campo, CA 91906-2028 | 2006-05-20 |
| 1487011847 | Mountain Health & Community Services, Inc. | Clinic/Center | 4690 El Cajon Blvd, San Diego, CA 92115-4403 | 2016-01-15 |
| 1881752608 | Mountain Health & Community Services, Inc. | Clinic/Center | 31115 Highway 94, Campo, CA 91906-3133 | 2006-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Health & Community Services, Inc | 1388 Buckman Springs Road, Campo, CA 91906 |
| Street Address |
255 N ASH ST STE 101 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-3069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438239 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1184267825 | Borrego Community Health Foundation | Clinic/Center | 1111 E Washington Ave # Abg, Escondido, CA 92025-2226 | 2019-10-25 |
| 1932622446 | Neighborhood Healthcare | Clinic/Center | 488 E Valley Pkwy Ste 404, Escondido, CA 92025-3379 | 2017-07-18 |
| 1023349883 | Borrego Community Health Foundation | Clinic/Center | 1151 E Washington Ave Ste C, Escondido, CA 92025-2254 | 2010-01-19 |
| 1598703647 | Neighborhood Healthcare | Clinic/Center | 460 N Elm St, Escondido, CA 92025-3002 | 2006-06-02 |
| 1801438239 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2019-10-17 |
| 1295192656 | Mountain Health & Community Services, Inc | Clinic/Center | 125 W Mission Ave Ste 105, Escondido, CA 92025-1721 | 2016-01-15 |
| 1487826772 | Neighborhood Healthcare | Clinic/Center | 1001 E Grand Ave, Escondido, CA 92025-4604 | 2008-03-27 |
| 1720264641 | Neighborhood Healthcare | Clinic/Center | 728 E Valley Pkwy, Escondido, CA 92025-3052 | 2008-01-10 |
| 1437335353 | Neighborhood Healthcare | Clinic/Center | 425 N Date St, Escondido, CA 92025-3413 | 2008-01-10 |
| 1265618185 | Neighborhood Healthcare | Clinic/Center | 426 N Date St, Escondido, CA 92025-3409 | 2008-01-10 |
| Find all providers in ESCONDIDO | ||||
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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.