CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (NPI# 1528477882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528477882 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
13742 Amar Rd La Puente CA 91746-1683 |
| Mailing Address |
1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 |
| Practice Telephone | 6269190400 |
| Practice Fax Number | 6269190411 |
| Mailing Telephone | 3237240019 |
| Mailing Fax Number | 3232487044 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MARICELA MENDOZA (MANAGED CARE LEAD) |
| Authorized Official Telephone | 3237240019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174996318 | Central City Community Health Center, Inc. | Clinic/Center | 268 Mcarthur Way Ste A, Upland, CA 91786-5615 | 2015-11-10 |
| 1508254814 | Central City Community Health Center, Inc. | General Practice | 81709 Dr Carreon Blvd Ste E1, Indio, CA 92201-5589 | 2015-01-08 |
| 1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
| 1558770818 | Central City Community Health Center, Inc. | General Practice | 4160 Maine Ave Ste B1b2b3, Baldwin Park, CA 91706-3304 | 2014-08-11 |
| 1285788059 | Central City Community Health Center, Inc. | General Practice | 2237 W Ball Rd, Anaheim, CA 92804 | 2007-01-22 |
| 1144842014 | Central City Community Health Center, Inc. | Clinic/Center | 1814 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-05-13 |
| 1598386559 | Central City Community Health Center, Inc. | Clinic/Center | 1820 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-04-30 |
| 1194265637 | Central City Community Health Center, Inc. | Clinic/Center | 5715 S Broadway, Los Angeles, CA 90037 | 2017-03-02 |
| 1972040467 | Central City Community Health Center, Inc. | Clinic/Center | 268 Mcarthur Way, Upland, CA 91786-5615 | 2017-01-23 |
| 1407230899 | Central City Community Health Center, Inc. | Clinic/Center | 2243 W Ball Rd, Anaheim, CA 92804 | 2015-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. | 1000 San Gabriel Blvd, Ste 200, Rosemead, CA 91770-4394 |
| Street Address |
13742 AMAR RD |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91746-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568762037 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 13742 Amar Rd, La Puente, CA 91746-1683 | 2010-10-29 |
| 1669030490 | Alyssa B Cruz | Nurse Practitioner | 13742 Amar Rd, La Puente, CA 91746-1683 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
| 1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
| 1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
| 1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
| 1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
| 1952888331 | Joshua Rios | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2018-07-27 |
| 1447709175 | Evelyn Chavez | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2016-09-22 |
| 1295102861 | Leticia Miramontes Pelayo I | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2015-08-30 |
| 1619369196 | Samantha Valle | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2015-02-20 |
| Find all providers in zip 91746 | ||||
| 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 |
|---|---|---|---|---|
| 1861983470 | East Valley Community Health Center, Inc. | Clinic/Center | 17800 Renault St, La Puente, CA 91744-5333 | 2018-05-21 |
| 1386912202 | East Valley Community Health Center, Inc. | Clinic/Center | 17840 Villa Corta St, La Puente, CA 91744-5342 | 2011-12-06 |
| 1598007197 | East Valley Community Health Center, Inc. | Clinic/Center | 14101 Nelson Ave, La Puente, CA 91746-2640 | 2013-03-21 |
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| Find all providers with the same taxonomy | ||||
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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.