MT. VERNON COMMUNITY HEALTH CENTER (NPI# 1144517863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144517863 |
| Entity Type | Organization |
| Organization Name | MT. VERNON COMMUNITY HEALTH CENTER |
| Practice Address |
1655 N Mount Vernon Ave Suite C San Bernardino CA 92411-1427 |
| Practice Telephone | 9095866271 |
| Practice Fax Number | 8887770807 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | RUZAN GEVORKYAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9095866271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CA | Ambulatory Health Care Facilities | |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities |
| Street Address |
1655 N MOUNT VERNON AVE SUITE C |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572053 | Hovsep Nargizyan, Dds, Inc. | Dentist | 1655 N Mount Vernon Ave, Unit B, San Bernardino, CA 92411-1427 | 2007-01-11 |
| 1467809368 | Michelle Kim-anh Hoang | Dentist | 1655 N Mount Vernon Ave, San Bernardino, CA 92411-1427 | 2016-05-20 |
| 1649653791 | Catherine Adaku Oluoha | Nurse Practitioner | 1655 N Mount Vernon Ave, San Bernardino, CA 92411-1427 | 2015-07-08 |
| 1639325731 | Roland Paul Williams | Dentist | 1655 N Mount Vernon Ave, San Bernardino, CA 92411-1427 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982164877 | Sac Health System | Clinic/Center | 781 W 2nd St Ste A, San Bernardino, CA 92410-3279 | 2019-03-25 |
| 1720534720 | Medex Health Center | Clinic/Center | 1600 N Arrowhead Ave, San Bernardino, CA 92405-4640 | 2016-08-30 |
| 1245682921 | Benevolence Industries Incorporated | Clinic/Center | 515 N Arrowhead Ave, San Bernardino, CA 92415-0007 | 2016-07-06 |
| 1013935923 | Sac Health System | Clinic/Center | 1293 N D St, San Bernardino, CA 92405-4734 | 2006-07-18 |
| 1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1134628589 | Central Neighborhood Health Foundation - Highland | Clinic/Center | 7576 Sterling Ave Ste A, San Bernardino, CA 92410-4202 | 2018-02-12 |
| 1689173197 | Central Neighborhood Health Foundation - Base Line San Bernardino | Clinic/Center | 1574 W Base Line St, San Bernardino, CA 92411-1777 | 2018-02-09 |
| 1649547944 | Sac Health System Frazee | Clinic/Center | 488 S K St, San Bernardino, CA 92410-2641 | 2011-11-30 |
| 1013935915 | Sac Health System | Clinic/Center | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2006-07-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on MT. VERNON COMMUNITY HEALTH CENTER.
| 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.