VO NEIGHBORHOOD MEDICAL CLINIC (NPI# 1104331586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104331586 |
| Entity Type | Organization |
| Organization Name | VO NEIGHBORHOOD MEDICAL CLINIC |
| Practice Address |
1590 S Imperial Ave El Centro CA 92243-4241 |
| Practice Telephone | 7603522551 |
| Practice Fax Number | 7603523022 |
| Mailing Telephone | 7603522551 |
| Mailing Fax Number | 7603523022 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | TIEN VO (DIRECTOR) |
| Authorized Official Telephone | 7603522551 |
| Authorized Official Credential | M.D. |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VO NEIGHBORHOOD MEDICAL CLINIC | 1590 S Imperial Ave, El Centro, CA 92243-4241 |
| Street Address |
1590 S IMPERIAL AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497812895 | Juan C Velazquez | Family Medicine | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2007-01-03 |
| 1760035992 | Alexis Lynell Brown | Nurse Practitioner | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2019-07-17 |
| 1689139446 | Firstchoice Hospitalist Group Inc | Hospitalist | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2019-02-06 |
| 1386118552 | Evelyn Ward | Respiratory Therapist, Registered | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2019-01-21 |
| 1811461171 | Lourdes Espinoza | Respiratory Therapist, Registered | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2019-01-18 |
| 1154801280 | John Francisco Guerrero | Registered Nurse | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2018-08-17 |
| 1093226037 | Easyaccess Care Ipa, Inc. | Internal Medicine | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2017-10-17 |
| 1366951691 | Burnfatmd Inc | Clinic/Center | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2017-09-29 |
| 1891964904 | Tien T Vo | Family Medicine | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| 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 |
|---|---|---|---|---|
| 1487741773 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-10-06 |
| 1346313889 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-11-15 |
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| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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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.