CENTRO MEDICO COMMUNITY CLINIC, INC


Address: 1307 W 6th St, Ste 113, Corona, CA 92882-3168
Phone: 9512788910

CENTRO MEDICO COMMUNITY CLINIC, INC (NPI# 1437153848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437153848
Entity Type Organization
Organization Name CENTRO MEDICO COMMUNITY CLINIC, INC
Practice Address 1307 W 6th St
Ste 113
Corona
CA 92882-3168
Practice Telephone 9512788910
Practice Fax Number 9512789895
Mailing Telephone 9512788910
Mailing Fax Number 9512789895
Enumeration Date 2005-06-13
Last Update Date 2020-08-22
Authorized Official Name MS. CELESTE E VENEY (DIRECTOR OF OPERATION/BILLING)
Authorized Official Telephone 9512788910
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
612590 CA Ambulatory Health Care Facilities

Office Location

Street Address 1307 W 6TH ST
STE 113
City CORONA
State CA
Zip Code 92882-3168

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831681485 Joanna Anin Behavior Technician 1307 W 6th St, Corona, CA 92882-3294 2018-05-30
1760990592 Meredith Dennis Behavior Technician 1307 W 6th St, Corona, CA 92882-3294 2018-01-15
1356877658 C&c Home Care, LLC Home Health 1307 W 6th St, Suite 220f, Corona, CA 92882-3294 2017-05-05
1811311863 Right Choice Hospice Care Hospice Care, Community Based 1307 W 6th St, Suite 209, Corona, CA 92882-3294 2014-02-11
1255699542 Sharmez Gresshel Savoy Physician Assistant 1307 W 6th St, Suite 103, Corona, CA 92882-3294 2012-04-25
1659668176 Randi Furman Counselor 1307 W 6th St, Corona, CA 92882-3294 2011-07-05
1538451422 Kristyn Carol Thompson Counselor 1307 W 6th St, Ste 109, Corona, CA 92882-3294 2011-05-10
1104122050 Crystal Sandoval Counselor 1307 W 6th St, Ste. 109, Corona, CA 92882 2011-02-09
1942435425 Vicki M Imbach Counselor 1307 W 6th St, Corona, CA 92882-3294 2009-05-27
1164657748 Lifesource Technologies Inc. Blood Bank 1307 W 6th St, Suite 207, Corona, CA 92882-3294 2009-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477116341 People Providing Training Solutions Health Educator 650 S. Main Street Corona Public Library, Corona, CA 92882 2019-04-17
1972080752 Boris Shlopov Md Pathology Medical Corporation Pathology 800 S Main, Corona, CA 92882 2018-07-24
1316431232 Julia's Care Hospice Hospice Care, Community Based 1450 N Sixth St, Ste 117, Corona, CA 92882 2018-06-15
1477060499 Shilpy Kanda Physician Assistant 2250 S Main St Ste 107, Corona, CA 92882 2017-12-29
1831616333 Cindy Ruiz Behavioral Analyst 2868 Briarhaven Ln, Corona, CA 92882 2017-08-24
1366965667 3 Vest Medical Transportation Wc LLC Non-emergency Medical Transport (VAN) 3256 Rural Lane, Corona, CA 92882 2017-07-19
1477073468 Adrian Macias I Counselor 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 2017-06-21
1699205286 Sylvia Barrow Counselor 2275 South Main Street Suite 201, Corona, CA 92882 2017-06-15
1417348574 Pensar Medical Durable Medical Equipment & Medical Supplies 1269 Pomona Rd Ste 107, Corona, CA 92882 2015-02-11
1215327085 Anne Maureen Sims Social Worker 2275 South Main, #201, Corona, CA 92882 2015-01-30
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982210522 Life Helping Hands Inc Clinic/Center 987 Haley Talbert Dr, Corona, CA 92881-8402 2020-09-18
1386298008 Centro Medico Community Clinic Clinic/Center 1303 W 6th St Ste 105, Corona, CA 92882-3196 2019-07-31
1649743030 Planned Parenthood of The Pacific Southwest Clinic/Center 2079 Compton Ave Ste 104, Corona, CA 92881-7284 2019-01-08
1275932477 Susan Tavitas Clinic/Center 7440 Marilyn Dr, Corona, CA 92881-4226 2014-08-14
1821074535 Native Village of Eyak Clinic/Center 705 Second St, Corona, AK 99574 2005-12-15

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1922625847 Gardner Family Health Network Clinic/Center 1621 Gold St, Alviso, CA 95002-3530 2020-06-26
1194340794 Greenville Rancheria Clinic/Center 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 2020-06-10
1841829876 Pacific Central Coast Health Centers Clinic/Center 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 2020-04-02
1740812866 Tauna Mcginnis Clinic/Center 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 2020-02-06
1275173403 United Advocates for Children and Families Clinic/Center 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 2020-01-15
1083251532 Prime Wellness Community Health Center Clinic/Center 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 2019-12-03
1841836301 Beverlycare Clinic/Center 101 E Beverly Blvd Ste 301, Montebello, CA 90640-4316 2019-11-20
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Competitor

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City CORONA
Zip Code 92882

Improve Information

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Dataset Information

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.

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