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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
612590 | CA | Ambulatory Health Care Facilities |
| Street Address |
1307 W 6TH ST STE 113 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-3168 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
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| 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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| 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.