CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO (NPI# 1689173197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689173197 |
| Entity Type | Organization |
| Organization Name | CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO |
| Practice Address |
1574 W Base Line St San Bernardino CA 92411-1777 |
| Practice Telephone | 9093861880 |
| Mailing Telephone | 9093861880 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | NUSRATH FATIMA JAHANGIR (COO) |
| Authorized Official Telephone | 3109628970 |
| Authorized Official Credential | VN |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL NEIGHBORHOOD HEALTH FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
1574 W BASE LINE ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902897564 | Clarita Louise Lumsden | Nurse Practitioner | 1574 W Base Line St, #107, San Bernardino, CA 92411-1736 | 2005-11-02 |
| 1306318225 | Louis Sithu | Nurse Practitioner | 1574 W Base Line St, San Bernardino, CA 92411-1777 | 2018-12-18 |
| 1184674830 | San Marcos Medical Group Inc. | Family Medicine | 1574 W Base Line St, San Bernardino, CA 92411-1736 | 2006-05-11 |
| 1508829714 | Damayanthi Durairaj | General Practice | 1574 W Base Line St, Suite 107, San Bernardino, CA 92411-1736 | 2006-04-10 |
| 1538122106 | Jesusa Aquino | Pediatrics | 1574 W Base Line St, Suite 107, San Bernardino, CA 92411-1736 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982164877 | Sac Health System | Clinic/Center | 781 W 2nd St Ste A, San Bernardino, CA 92410-3279 | 2019-03-25 |
| 1720534720 | Medex Health Center | Clinic/Center | 1600 N Arrowhead Ave, San Bernardino, CA 92405-4640 | 2016-08-30 |
| 1245682921 | Benevolence Industries Incorporated | Clinic/Center | 515 N Arrowhead Ave, San Bernardino, CA 92415-0007 | 2016-07-06 |
| 1013935923 | Sac Health System | Clinic/Center | 1293 N D St, San Bernardino, CA 92405-4734 | 2006-07-18 |
| 1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
| 1134628589 | Central Neighborhood Health Foundation - Highland | Clinic/Center | 7576 Sterling Ave Ste A, San Bernardino, CA 92410-4202 | 2018-02-12 |
| 1649547944 | Sac Health System Frazee | Clinic/Center | 488 S K St, San Bernardino, CA 92410-2641 | 2011-11-30 |
| 1013935915 | Sac Health System | Clinic/Center | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2006-07-18 |
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| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO.
| 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.