BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1184267825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184267825 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Practice Address |
1111 E Washington Ave # Abg Escondido CA 92025-2226 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 7608710606 |
| Mailing Telephone | 8584428224 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | MIKIA BRAYTON WALLIS (CEO) |
| Authorized Official Telephone | 7607676641 |
| Is Organization Subpart | Y |
| Parent Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BORREGO HEALTH ESCONDIDO PEDIATRICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295311 | Borrego Community Health Foundation | Community/Behavioral Health | 1880 E Washington St Ste A, Colton, CA 92324-4621 | 2020-08-17 |
| 1558987206 | Borrego Community Health Foundation | Clinic/Center | 264 N Highland Springs Ave # 1-a1b, Banning, CA 92220-3082 | 2020-06-18 |
| 1730712183 | Borrego Community Health Foundation | Clinic/Center | 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262-4414 | 2020-02-13 |
| 1255971651 | Borrego Community Health Foundation | Clinic/Center | 7576 Sterling Ave # C7d, San Bernardino, CA 92410-4273 | 2020-01-14 |
| 1093251910 | Borrego Community Health Foundation | Dentist | 590 Palm Canyon Dr., 212, Borrego Springs, CA 92004-2369 | 2017-01-17 |
| 1659824837 | Borrego Community Health Foundation | Pharmacy | 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 | 2016-07-25 |
| 1306131545 | Borrego Community Health Foundation | Clinic/Center | 8856 Arlington Avenue, Riverside, CA 92503-1365 | 2011-06-16 |
| 1023349883 | Borrego Community Health Foundation | Clinic/Center | 1151 E Washington Ave Ste C, Escondido, CA 92025-2254 | 2010-01-19 |
| 1700946969 | Borrego Community Health Foundation | Family Medicine | 2721 Washington St, Julian, CA 92036 | 2006-12-11 |
| 1649330853 | Borrego Community Health Foundation | Family Medicine | 655 Palm Canyon Dr., Ste. C, Borrego Springs, CA 92004-2369 | 2006-12-11 |
| Street Address |
1111 E WASHINGTON AVE # ABG |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1063613263 | Mountain Health & Community Services, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2007-05-29 |
| 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.