MOUNTAIN HEALTH & COMMUNITY SERVICES, INC (NPI# 1720544141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720544141 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HEALTH & COMMUNITY SERVICES, INC |
| Practice Address |
427 Central Ave Fillmore CA 93015-1329 |
| Mailing Address |
1388 Buckman Springs Rd Campo CA 91906-2028 |
| Practice Telephone | 8055240777 |
| Practice Fax Number | 8055242596 |
| Mailing Telephone | 6194785311 |
| Mailing Fax Number | 6194789164 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | AMY CHRISTINE WEISIGER (CFO) |
| Authorized Official Telephone | 6194785254 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Sespe Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116549 | Mountain Health & Community Services, Inc | Clinic/Center | 650 Hobson Way, Oxnard, CA 93030-6706 | 2019-04-15 |
| 1932566395 | Mountain Health & Community Services, Inc | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2016-01-15 |
| 1295192656 | Mountain Health & Community Services, Inc | Clinic/Center | 125 W Mission Ave Ste 105, Escondido, CA 92025-1721 | 2016-01-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Health & Community Services, Inc | 1388 Buckman Springs Road, Campo, CA 91906 |
| Street Address |
427 CENTRAL AVE |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336254705 | Jorge O Bautista | Family Medicine | 427 Central Ave, Fillmore, CA 93015-1329 | 2006-08-19 |
| 1609359546 | Quik Care Medical Inc | Clinic/Center | 427 Central Ave, Fillmore, CA 93015-1329 | 2018-09-06 |
| 1093997504 | Eliasar Benjamin Macias | Physician Assistant | 427 Central Ave, Fillmore, CA 93015 | 2007-11-27 |
| 1629101340 | Bautista Medical Group So Ca Inc | Family Medicine | 427 Central Ave, Fillmore, CA 93015 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| Find all providers in zip 93015 | ||||
| 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 |
|---|---|---|---|---|
| 1134360076 | County of Ventura | Clinic/Center | 828 W Ventura St Ste 100, Fillmore, CA 93015-1877 | 2009-03-23 |
| 1912123431 | Clinicas Del Camino Real Inc | Clinic/Center | 355 Central Ave, Fillmore, CA 93015-1920 | 2007-04-17 |
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| 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 | ||||
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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.