MISSION CITY COMMUNITY NETWORK, INC. (NPI# 1609151273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609151273 |
| Entity Type | Organization |
| Organization Name | MISSION CITY COMMUNITY NETWORK, INC. |
| Practice Address |
1818 N Orange Grove Ave 205 Pomona CA 91767-3028 |
| Mailing Address |
15206 Parthenia St North Hills CA 91343-5305 |
| Practice Telephone | 8188953100 |
| Practice Fax Number | 8188924651 |
| Mailing Telephone | 8188953100 |
| Mailing Fax Number | 8188924651 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | NIK GUPTA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8188953100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
960000465 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246979 | Mission City Community Network, Inc. | Clinic/Center | 2655 W. Olympic Blvd., Los Angeles, CA 90006-2810 | 2017-03-10 |
| 1174971741 | Mission City Community Network, Inc. | Clinic/Center | 359 N Fairfax Ave, Los Angeles, CA 90036-2179 | 2016-05-24 |
| 1790133379 | Mission City Community Network, Inc. | Clinic/Center | 405 E Buena Vista St, Barstow, CA 92311-2815 | 2016-05-24 |
| 1043593304 | Mission City Community Network, Inc. | Clinic/Center | 15210 Parthenia St., North Hills, CA 91343 | 2011-09-23 |
| 1275786402 | Mission City Community Network, Inc. | Clinic/Center | 8363 Reseda Blvd Ste 11, Northridge, CA 91324-4694 | 2008-10-31 |
| 1306017603 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2008-03-14 |
| 1760409791 | Mission City Community Network, Inc. | Clinic/Center | 15206 Parthenia St, North Hills, CA 91343-5305 | 2006-07-16 |
| 1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
| 1780199307 | Mission City Community Network, Inc. | Clinic/Center | 222 W Eulalia St Ste 301, Glendale, CA 91204-2851 | 2017-12-05 |
| 1083062343 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2016-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSION CITY COMMUNITY NETWORK, INC. | 15206/15210 Parthenia St, North Hills, CA 91343 |
| Street Address |
1818 N ORANGE GROVE AVE 205 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645760 | Randy Nihal Karu | Family Medicine | 1818 N Orange Grove Ave, 103, Pomona, CA 91767-3028 | 2005-08-09 |
| 1154857175 | James J Wu Medical Corportaion | Pediatrics | 1818 N Orange Grove Ave, 200, Pomona, CA 91767-3028 | 2017-05-11 |
| 1790175446 | Daisy Berganio | Nurse Practitioner | 1818 N Orange Grove Ave, Suite 204, Pomona, CA 91767-3028 | 2015-02-03 |
| 1396156501 | Indus Ipa, Inc. | Family Medicine | 1818 N Orange Grove Ave, Suite 206, Pomona, CA 91767-3028 | 2014-05-12 |
| 1780015438 | Chit Su Wai | Internal Medicine | 1818 N Orange Grove Ave, Suite 204, Pomona, CA 91767-3028 | 2013-12-05 |
| 1396186565 | Narine Argishti | Internal Medicine | 1818 N Orange Grove Ave, Suite 204, Pomona, CA 91767-3028 | 2013-07-16 |
| 1770927071 | Accountable Physicians Medical Group | General Practice | 1818 N Orange Grove Ave, Suite 206, Pomona, CA 91767-3028 | 2013-04-18 |
| 1023356268 | Paul Sucgang, D.o., Inc | Family Medicine | 1818 N Orange Grove Ave, Suite 305, Pomona, CA 91767-3028 | 2013-01-23 |
| 1619234960 | Sumati Bavisetty | Internal Medicine | 1818 N Orange Grove Ave, Suite # 204, Pomona, CA 91767-3028 | 2012-04-11 |
| 1598075509 | Lyda Del Toro | Physician Assistant | 1818 N Orange Grove Ave, 204, Pomona, CA 91767-3028 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043565096 | Pomona Valley Community Health Center | Clinic/Center | 1568 N Orange Grove Ave Ste A, Pomona, CA 91767-3812 | 2012-07-16 |
| 1538491758 | K. Mawaheb M.d. Faafp, Inc | Clinic/Center | 3165 N Garey Ave, Pomona, CA 91767-1366 | 2010-02-12 |
| 1144475872 | Coleen Rosemarie Easy | Clinic/Center | 17 Phyllis Dr, Pomona, NY 10970-2630 | 2008-11-21 |
| 1962069393 | St John Community Health Center | Clinic/Center | 2112 S Garey Ave Ste C, Pomona, CA 91766-5600 | 2019-05-21 |
| 1902318942 | Urban Medical Clinic Inc | Clinic/Center | 586 E Mission Blvd, Pomona, CA 91766-1938 | 2017-10-31 |
| 1700171105 | Aastha, Inc | Clinic/Center | 1920 N Garey Ave, Pomona, CA 91767-2708 | 2011-06-14 |
| 1891003869 | Antonio Hurtado Rodriguez M.d., A Professional Corporation | Clinic/Center | 630 N Park Ave, Pomona, CA 91768-3621 | 2010-09-23 |
| 1720309875 | Advanced Pediatrics of Rockland, P.C. | Clinic/Center | 358 Route 202, Suite 2, Pomona, NY 10970-3012 | 2010-06-11 |
| 1366768731 | Primary Medical Care of Rockland Pllc | Clinic/Center | 6 Medical Park Dr, Ll-back, Pomona, NY 10970-3525 | 2010-04-11 |
| 1912134826 | Family Medicine Associates, Pllc | Clinic/Center | 11 Medical Park Dr, Suite 100, Pomona, NY 10970-3559 | 2009-06-18 |
| Find all providers in POMONA | ||||
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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.