BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1558901959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558901959 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Practice Address |
7965 Sierra Ave Ste E Fontana CA 92336-3329 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 9093564459 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | MIKIA BRAYTON WALLIS (CEO) |
| Authorized Official Telephone | 7607676641 |
| 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 - FONTANA | 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 |
7965 SIERRA AVE STE E |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506412 | Nancy Go Lim | Family Medicine | 7965 Sierra Ave Ste E, Fontana, CA 92336 | 2006-02-08 |
| 1295352458 | Lillian Landry | Licensed Vocational Nurse | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2020-07-02 |
| 1619477817 | Kristian Wuysang | Nurse Practitioner | 7965 Sierra Ave Ste E, Fontana, CA 92336 | 2018-02-15 |
| 1790133205 | Marylin Ruth Cruz Gould | Nurse Practitioner | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2016-05-25 |
| 1215382874 | Nancy Pulido | Obstetrics & Gynecology | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2016-05-02 |
| 1962866624 | Munjal Patel | Nurse Practitioner | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2016-04-08 |
| 1215365408 | Eric Alemnji Efuetngu | Nurse Practitioner | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2013-10-24 |
| 1376644369 | Bertha Stella Oropeza | Nurse Practitioner | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1003373812 | Unicare Community Health Center Inc | Clinic/Center | 17500 Foothill Blvd Ste A2, Fontana, CA 92335-3798 | 2019-02-28 |
| 1619330438 | Central Neighborhood Health Foundation | Clinic/Center | 17695 Arrow Blvd, Fontana, CA 92335 | 2016-03-30 |
| 1174984041 | Unicare Community Health Center, Inc. | Clinic/Center | 16127 Foothill Blvd, Fontana, CA 92335-3374 | 2016-03-18 |
| 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 | ||||
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.