EL DORADO COMMUNITY SERVICE CENTER (NPI# 1518036037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518036037 |
Entity Type | Organization |
Organization Name | EL DORADO COMMUNITY SERVICE CENTER |
Other Organization Name | BAKERSFIELD MEDICAL & MENTAL HEALTH SERVICES |
Practice Address |
1010 S Union Ave Bakersfield CA 93307-3642 |
Mailing Address |
Po Box 801809 Valencia CA 91380-1809 |
Practice Telephone | 6613210234 |
Practice Fax Number | 6613219856 |
Mailing Telephone | 6612546630 |
Mailing Fax Number | 6612546644 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2017-01-31 |
Authorized Official Name | SEANJAY RAMANAND SHARMA (DIRECTOR) |
Authorized Official Telephone | 6612546630 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
120000563 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM70918F | 05 |
Other Name | Type Code |
---|---|
BAKERSFIELD MEDICAL & MENTAL HEALTH SERVICES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427469386 | El Dorado Community Service Center | Clinic/Center | 21619 Norwalk Blvd, Hawaiian Gardens, CA 90716-1123 | 2014-05-14 |
1609287564 | El Dorado Community Service Center | Clinic/Center | 14611 Hawthorne Blvd, Lawndale, CA 90260-1522 | 2014-05-14 |
1083040216 | El Dorado Community Service Center | Clinic/Center | 540 S San Pedro St, Los Angeles, CA 90013-2102 | 2013-09-19 |
1912254418 | El Dorado Community Service Center | Clinic/Center | 472 S Citrus Ave, Azusa, CA 91702-4733 | 2012-08-14 |
1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
1932338241 | El Dorado Community Service Center | Clinic/Center | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2009-07-08 |
1568677235 | El Dorado Community Service Center | Clinic/Center | 5200 San Gabriel Pl Suite B & C, Pico Rivera, CA 90660-2497 | 2007-05-14 |
1508935230 | El Dorado Community Service Center | Clinic/Center | 24625 Arch St, Newhall, CA 91321-1111 | 2006-11-07 |
1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
1821167305 | El Dorado Community Service Center | Clinic/Center | 21507 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-07 |
Street Address |
1010 S UNION AVE |
City | BAKERSFIELD |
State | CA |
Zip Code | 93307-3642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629635701 | Jose Angel Ramirez | Licensed Vocational Nurse | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2019-05-23 |
1275029878 | Emily Rosario Anaya | Counselor | 1010 S Union Ave, Bakersfield, CA 93307 | 2018-07-06 |
1013136167 | Juan M Pinon | Counselor | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2007-04-25 |
1043439060 | Sharrell L Melendez | Counselor | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2007-04-25 |
1073732020 | Francisco M Castro | Counselor | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2007-04-25 |
1841419967 | Maria E Diaz | Counselor | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2007-04-25 |
1154476562 | Michael Greg Ante Sr. | Counselor | 1010 S Union Ave, Suite One and A Half, Bakersfield, CA 93307-3642 | 2007-01-24 |
1588719983 | Freddy Mae Howard | Counselor | 1010 S Union Ave, Suite One and A Half, Bakersfield, CA 93307-3642 | 2007-01-24 |
1427101252 | Oshia G Hale | Counselor | 1010 S Union Ave, Suite One Half, Bakersfield, CA 93307-3642 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
Find all providers in zip 93307 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1427677319 | Passqual, Inc. | Clinic/Center | 600 Jasmine Parke Dr Apt 1, Bakersfield, CA 93312-3429 | 2020-04-10 |
1932749108 | Vanguard Medical Corporation | Clinic/Center | 500 Old River Rd Ste 250, Bakersfield, CA 93311-9515 | 2020-01-15 |
1790160539 | Aimee Marie Franco | Clinic/Center | 6112 Tahitian Pearl Dr, Bakersfield, CA 93313-5326 | 2015-07-22 |
1265853295 | Personalized Family Medicine, Inc. | Clinic/Center | 2308 Haggin Oaks Blvd, Bakersfield, CA 93311-1563 | 2013-12-17 |
1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
1205165107 | Central Medical Group, Inc. | Clinic/Center | 9500 Stockdale Hwy #200, Bakersfield, CA 93311 | 2009-12-24 |
1821292012 | San Michael Pediatrics Inc | Clinic/Center | 3612 Coffee Rd Ste C, Bakersfield, CA 93308-5027 | 2007-06-12 |
1295895522 | Ajitpal S. Tiwana,m.d.,inc. | Clinic/Center | 2700 F St, #100, Bakersfield, CA 93301-1848 | 2006-12-08 |
1912018581 | Mohawk Medical Group, Inc. | Clinic/Center | 9500 Stockdale Hwy., Bakersfield, CA 93311-3621 | 2006-08-31 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93307 |
Please comment or provide details below to improve the information on EL DORADO 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.