BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1700946969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700946969 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Other Organization Name | JULIAN MEDICAL CLINIC |
| Practice Address |
2721 Washington St Julian CA 92036 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 7607651223 |
| Practice Fax Number | 7607651278 |
| Mailing Telephone | 7607651223 |
| Mailing Fax Number | 7607651278 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | MS. MIKIA B WALLIS (CEO) |
| Authorized Official Telephone | 7607676722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Julian Medical Clinic | 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 |
| 1649330853 | Borrego Community Health Foundation | Family Medicine | 655 Palm Canyon Dr., Ste. C, Borrego Springs, CA 92004-2369 | 2006-12-11 |
| Street Address |
2721 WASHINGTON ST |
| City | JULIAN |
| State | CA |
| Zip Code | 92036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492549 | Joshua Mason Brown | Psychologist | 1704 Cape Horn Ln., Julian, CA 92036 | 2019-11-25 |
| 1720587561 | Cathleen Erin Shaffer | Nurse Practitioner | 2712 Washington St, Julian, CA 92036 | 2018-02-07 |
| 1497019103 | Julian Union School District | Local Education Agency (LEA) | 1704 Cape Horn, Julian, CA 92036 | 2012-06-27 |
| 1922314145 | Blake Andrew Wylie | Family Medicine | 2721 Washington Street, Julian, CA 92036 | 2010-08-25 |
| 1881929875 | Jennifer Suzanne Roberts | Marriage & Family Therapist | 2907 Washington Street, Ste B, Julian, CA 92036 | 2009-10-08 |
| 1063660355 | Brian James Denny | Chiropractor | 1455 Hollow Glen Road, Julian, CA 92036 | 2008-08-29 |
| 1144210147 | Julian Cuyamaca Fire Protection | Ambulance | 2645 Farmers Rd, Julian, CA 92036 | 2005-10-21 |
| 1639510985 | Vista Hill Smartcare | Community/Behavioral Health | 2721 Washington Street, Julian, CA 92036 | 2013-07-16 |
| 1053411900 | James Colbert | Counselor | 3275 Dolores Dr., Julian, CA 92036-0459 | 2006-09-22 |
| 1205046935 | Robert Ian Goldenberg | Dentist | 2602 Washington Street, Julian, CA 92036-0696 | 2007-05-23 |
| Find all providers in zip 92036 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.