BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1336789890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336789890 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Practice Address |
742 W Highland Ave San Bernardino CA 92405-3839 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 9098817320 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | ANTONIO ROSSELLI (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 6198733538 |
| 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 |
|---|---|
| METROPOLITAN FAMILY MEDICAL GROUP - SAN BERNARDINO | 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 |
| 1184267825 | Borrego Community Health Foundation | Clinic/Center | 1111 E Washington Ave # Abg, Escondido, CA 92025-2226 | 2019-10-25 |
| 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 |
| Street Address |
742 W HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92405-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789000 | Elaine Marie Gackle | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2006-02-15 |
| 1841844990 | Karl Amparo | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2019-07-27 |
| 1760975825 | Ambika Ranabhat | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-06-12 |
| 1770074791 | Nomagugu Mafu | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-05-24 |
| 1083008254 | Maretha Tyce | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2015-03-25 |
| 1366831653 | Yoggie Efendy | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2015-01-09 |
| 1215216965 | Oluwamuyiwa Bolonduro | Obstetrics & Gynecology | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2011-08-12 |
| 1487932372 | Hobart Leung | Internal Medicine | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2011-07-27 |
| 1265744718 | Ray Lengvilas | Pediatrics | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2010-07-12 |
| 1396914545 | Philis Denise Ransom | Obstetrics & Gynecology | 742 W Highland Ave, San Bernardino, CA 92405 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177497 | New Hope Transitional Living | Clinical Nurse Specialist | 1228 West 31st, San Bernardino, CA 92405 | 2019-07-25 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1609385756 | Abraham Isacc Gonzalez | Registered Nurse | 255 W 17th St, San Bernardino, CA 92405 | 2017-09-20 |
| 1962945675 | Ann Marie Monica Clark | Assisted Living Facility | 3524 Acacia Avenue, San Bernardino, CA 92405 | 2016-11-29 |
| 1801265715 | Leslie Del Toro | Counselor | 2025 N D St, San Bernardino, CA 92405 | 2015-09-21 |
| 1558797324 | Nora Escobar-mandujano | Marriage & Family Therapist | 1441 North 'd' Street, San Bernardino, CA 92405 | 2013-09-24 |
| 1295088284 | Elizabeth Rocha | Counselor | 1669 North E Street, San Bernardino, CA 92405 | 2012-10-16 |
| 1972855237 | Vanessa Kelly Gutierrez | Marriage & Family Therapist | 1669 N E Street, San Bernardino, CA 92405 | 2012-10-11 |
| 1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
| 1508167602 | Al Shifa Clinic Incorporated | Voluntary or Charitable | 2334 North Sierra Way, San Bernardino, CA 92405 | 2010-11-06 |
| Find all providers in zip 92405 | ||||
| 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 |
|---|---|---|---|---|
| 1255971651 | Borrego Community Health Foundation | Clinic/Center | 7576 Sterling Ave # C7d, San Bernardino, CA 92410-4273 | 2020-01-14 |
| 1730748922 | Unicare Community Health Center Inc | Clinic/Center | 184 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-06-11 |
| 1265854061 | Unicare Community Health Center, Inc. | Clinic/Center | 570 S Mount Vernon Ave, Suite G, San Bernardino, CA 92410-2760 | 2014-01-13 |
| 1255523759 | Whitney Young Family Health Clinic | Clinic/Center | 1755 Maple St, San Bernardino, CA 92411-2441 | 2007-08-17 |
| 1861032328 | Borrego Community Health Foundation | Clinic/Center | 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736 | 2020-01-13 |
| 1205393238 | Unicare Community Health Center Inc | Clinic/Center | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2019-02-26 |
| 1841437241 | H Street Clinic Inc | Clinic/Center | 1329 N H St, San Bernardino, CA 92405-5039 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92405 |
Please comment or provide details below to improve the information on BORREGO COMMUNITY HEALTH FOUNDATION.
| 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.