EL PROYECTO DEL BARRIO, INC (NPI# 1770696023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770696023 |
| Entity Type | Organization |
| Organization Name | EL PROYECTO DEL BARRIO, INC |
| Other Organization Name | EL PROYECTO DEL BARRIO AZUSA HEALTH CENTER |
| Practice Address |
150 N Azusa Ave Azusa CA 91702-3521 |
| Mailing Address |
8902 Woodman Ave Arleta CA 91331-6401 |
| Practice Telephone | 6269697885 |
| Practice Fax Number | 8189699686 |
| Mailing Telephone | 8188307033 |
| Mailing Fax Number | 8188307280 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | CORINNE SANCHEZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 8188307133 |
| Authorized Official Credential | ESQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
550000128 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550000128 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EAPC | EAP70468F | 01 |
| CA | FHC71129F | 05 | |
| CA | FHC70468F | 05 |
| Other Name | Type Code |
|---|---|
| EL PROYECTO DEL BARRIO AZUSA HEALTH CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538130893 | El Proyecto Del Barrio, Inc | Clinic/Center | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2006-01-26 |
| 1093181448 | El Proyecto Del Barrio, Inc | Clinic/Center | 18250 Roscoe Blvd, Suite 200, Northridge, CA 91325-4226 | 2015-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EL PROYECTO DEL BARRIO, INC. | 8902 Woodman Ave, Arleta, CA 91331-6401 |
| Street Address |
150 N AZUSA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451194 | Veronika J Weller | Nurse Practitioner | 150 N Azusa Ave, Azusa, CA 91702 | 2016-12-08 |
| 1639613847 | Bethany Stutzman | Registered Nurse | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2016-12-06 |
| 1811365521 | Jalie Ann Heslop | Clinical Nurse Specialist | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2015-09-11 |
| 1811216989 | Katan Pravin Patel | Family Medicine | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2010-05-27 |
| 1396994265 | Maria Santana | Case Manager/Care Coordinator | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2008-09-15 |
| 1356503916 | Aaron K Lynn | Pediatrics | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2008-06-25 |
| 1790971943 | Magdalena Lopez | Registered Nurse | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2007-09-21 |
| 1962600601 | Livia Zulema Villareal | Case Manager/Care Coordinator | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
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| 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.