EL DORADO COMMUNITY SERVICE CENTER (NPI# 1669812780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669812780 |
| Entity Type | Organization |
| Organization Name | EL DORADO COMMUNITY SERVICE CENTER |
| Other Organization Name | MARYSVILLE MEDICAL AND MENTAL HEALTH SERVICES |
| Practice Address |
1496 N Beale Rd Marysville CA 95901-6205 |
| Mailing Address |
5200 San Gabriel Pl Ste D Pico Rivera CA 90660-2497 |
| Practice Telephone | 5307498640 |
| Practice Fax Number | 5307498646 |
| Mailing Telephone | 5622221310 |
| Mailing Fax Number | 5622222301 |
| Enumeration Date | 2013-07-03 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marysville Medical and 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 |
| 1518036037 | El Dorado Community Service Center | Clinic/Center | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-07 |
| 1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
| Street Address |
1496 N BEALE RD |
| City | MARYSVILLE |
| State | CA |
| Zip Code | 95901-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518018852 | Casandra J Wood Ix | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2007-01-15 |
| 1063029973 | Ashley Marie Schotte | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2020-09-24 |
| 1952915175 | Heather Louise Ogden | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2020-09-04 |
| 1851901458 | Michelle Pizarro | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2020-08-07 |
| 1205453503 | Maria De Los Angeles Flores | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2020-07-02 |
| 1164078184 | Debra Lynne Crawford | Licensed Vocational Nurse | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2019-08-15 |
| 1386207330 | Javier Quintana | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2019-04-16 |
| 1285297465 | Steven Craig Elliott Jr. | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2019-04-15 |
| 1801365309 | Krystine Nichole Adams | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2018-11-14 |
| 1841702610 | Brooklyn Audas | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2017-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1710486170 | County of Sutter | Community/Behavioral Health | 8 7th Street, Marysville, CA 95901 | 2018-02-12 |
| 1144747676 | Amanda Shaye Martinez | Counselor | 103 D St., Marysville, CA 95901 | 2017-08-25 |
| 1912424557 | Jasmine Nicole Powers-mesna | Behavior Technician | 413 Pine Street, Marysville, CA 95901 | 2017-08-24 |
| 1457874729 | Rena Raju | Counselor | 1496 N. Beale Rd, Marysville, CA 95901 | 2017-07-19 |
| 1700319027 | Daniel Joseph Desmond V | Specialist/Technologist | 12 E 18th St, Marysville, CA 95901 | 2017-04-04 |
| 1720510340 | Austin James Parr | Specialist/Technologist | 1919 B St, Marysville, CA 95901 | 2017-04-02 |
| 1720411549 | Ann Marie Vallier | Counselor | 320 H Street, Suite 2, Marysville, CA 95901 | 2013-08-15 |
| 1790968725 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 Dubois Street, Suite B, San Rafael, CA 95901 | 2007-12-13 |
| 1275742405 | Yuba County Children and Families At Risk Program | Community/Behavioral Health | 209 6th Street, Marysville, CA 95901 | 2007-05-22 |
| Find all providers in zip 95901 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124049937 | Community Memorial Healthcare, Inc. | Clinic/Center | 808 N 19th St, Marysville, KS 66508-1358 | 2006-07-21 |
| 1831528850 | Whole Life Chiropractic | Clinic/Center | 1705 Gratiot Blvd, Marysville, MI 48040-1184 | 2013-11-12 |
| 1699114108 | Lower Lights Christian Health Center, Inc | Clinic/Center | 773 S Walnut St, Marysville, OH 43040-1643 | 2013-06-18 |
| 1174884696 | Thomas Neuschatz, M.d., Inc. | Clinic/Center | 118 C St, Marysville, CA 95901-6016 | 2012-05-31 |
| 1356645014 | Whole Health Medical Group Ohio, PC | Clinic/Center | 14210 Scottslawn Rd, Marysville, OH 43041-0001 | 2011-01-10 |
| 1629211529 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 14210 Scottslawn Rd, Marysville, OH 43041-0001 | 2009-04-08 |
| 1659559409 | 4th Street Medical Care Pllc | Clinic/Center | 1602 4th St, Marysville, WA 98270-5014 | 2008-02-04 |
| 1558543934 | Community Memorial Healthcare, Inc. | Clinic/Center | 708 N 18th St, Marysville, KS 66508-1338 | 2007-11-28 |
| 1780806869 | Northwest Center for Optimal Health Inc | Clinic/Center | 316 State Ave, Marysville, WA 98270-5028 | 2007-05-02 |
| 1295749067 | Community Memorial Healthcare, Inc. | Clinic/Center | 1902 May St, Marysville, KS 66508-1200 | 2006-07-28 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 95901 |
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.