ELDORADO COMMUNITY SERVICE CENTER (NPI# 1154681245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154681245 |
| Entity Type | Organization |
| Organization Name | ELDORADO COMMUNITY SERVICE CENTER |
| Practice Address |
100 E Market St Long Beach CA 90805-5924 |
| Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
| Practice Telephone | 5624284222 |
| Practice Fax Number | 5624280372 |
| Mailing Telephone | 6612546630 |
| Mailing Fax Number | 6612546644 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | STAN SHARMA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6612546630 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669813515 | Eldorado Community Service Center | Clinic/Center | 9442/9500 International Blvd., Oakland, CA 94603-1444 | 2013-07-08 |
| 1316039241 | Eldorado Community Service Center | Clinic/Center | 4023 Marine Ave, Lawndale, CA 90260-1840 | 2006-09-28 |
| 1851705909 | Eldorado Community Service Center | Health Maintenance Organization | 24625 Arch St, Santa Clarita, CA 91321-1111 | 2014-06-17 |
| 1568722890 | Eldorado Community Service Center | Clinic/Center | 2272 Pacific Ave, Suite A, Long Beach, CA 90806-4312 | 2012-05-21 |
| 1174803852 | Eldorado Community Service Center | Clinic/Center | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2011-08-25 |
| Street Address |
100 E MARKET ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750428496 | Felicitacion Sibayan Morris | Pediatrics | 100 E Market St, Long Beach, CA 90805-5924 | 2007-01-31 |
| 1740832088 | Cindy Urrutia | Licensed Vocational Nurse | 100 E Market St, Long Beach, CA 90805-5924 | 2019-07-16 |
| 1336791268 | Sharon Adams | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2019-07-11 |
| 1144702218 | Sidney Walker | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2018-09-05 |
| 1609322759 | Gabriel Cortes | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2016-08-29 |
| 1568917466 | West County Medical | Substance Abuse Rehabilitation Facility | 100 E Market St, Long Beach, CA 90805-5924 | 2016-08-20 |
| 1750636643 | John David Derosa | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2012-07-17 |
| 1942565700 | Cynthia Pizarro | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2012-07-09 |
| 1801181987 | Rodolfo Rubio | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2011-06-16 |
| 1700179520 | Perry Wagner | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827898 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 1955 Long Beach Blvd Ste 150, Long Beach, CA 90806-5501 | 2019-12-09 |
| 1255671566 | Isaias De Guzman Paja Jr. Md Inc | Clinic/Center | 2491 Pacific Ave Ste 3, Long Beach, CA 90806-2900 | 2013-02-22 |
| 1093966822 | St Nazarene Medical Clinic Inc | Clinic/Center | 2403 Atlantic Ave, Long Beach, CA 90806-3221 | 2008-10-10 |
| 1871654160 | Maria Teresa Galarpe Pastor | Clinic/Center | 1703 Termino Ave. Suite 206, 206, Long Beach, CA 90804 | 2006-12-12 |
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| 1255386215 | Henrico V. Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2006-05-24 |
| 1699201897 | H V Mungcal Md | Clinic/Center | 1937 Pacific Ave, Long Beach, CA 90806-5321 | 2017-05-08 |
| 1285055970 | Patricia A Maciog, Md | Clinic/Center | 6226 E Spring St, 240, Long Beach, CA 90815-1423 | 2013-12-23 |
| 1477898245 | Luke Family Medical Group Inc. | Clinic/Center | 904 E Pacific Coast Hwy, Long Beach, CA 90806-5626 | 2012-12-05 |
| 1568722890 | Eldorado Community Service Center | Clinic/Center | 2272 Pacific Ave, Suite A, Long Beach, CA 90806-4312 | 2012-05-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on ELDORADO COMMUNITY SERVICE 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.