BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1790075315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790075315 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEALTH FOUNDATION |
| Other Organization Name | EASTSIDE HEALTH CENTER |
| Practice Address |
1970 University Ave Riverside CA 92507-5202 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 6193982405 |
| Practice Fax Number | 6193982412 |
| Mailing Telephone | 7607675051 |
| Mailing Fax Number | 7607674552 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | MR. MICHAEL DOUGLAS DEW (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 6193982405 |
| 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 |
|---|---|
| Eastside Health Center | 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 |
| 1700946969 | Borrego Community Health Foundation | Family Medicine | 2721 Washington St, Julian, CA 92036 | 2006-12-11 |
| Street Address |
1970 UNIVERSITY AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121357 | Valeria Pereira | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2006-12-19 |
| 1972048601 | Cynthia Maria Zavala | Nurse Practitioner | 1970 University Ave, Riverside, CA 92507-5202 | 2017-01-04 |
| 1093149783 | Felipe Mendez Cendejas | Physician Assistant | 1970 University Ave, Riverside, CA 92507-5202 | 2013-08-29 |
| 1861690224 | Kimberley Dawn Evans | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-06 |
| 1578761193 | Mak Nai Dohr | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-05 |
| 1255538252 | Mitsuko Murata | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-02 |
| 1689896326 | Robert B Martin | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-05-03 |
| 1609996107 | Maria Salve Bueno | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-03-29 |
| 1558419945 | Philip A Bradford | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-01-08 |
| 1053469379 | Community Health Systems | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1538407325 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Place, Riverside, CA 92507-2606 | 2013-01-29 |
| 1306131545 | Borrego Community Health Foundation | Clinic/Center | 8856 Arlington Avenue, Riverside, CA 92503-1365 | 2011-06-16 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1447872577 | H Street Clinic Inc | Clinic/Center | 3750 Arlington Ave, Riverside, CA 92506-2607 | 2020-05-12 |
| 1275173676 | Borrego Community Health Foundation | Clinic/Center | 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 | 2020-01-14 |
| 1043777089 | Unicare Community Health Center Inc | Clinic/Center | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2019-02-26 |
| 1285029462 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2015-04-03 |
| 1174950588 | Urban Community Action Projects | Clinic/Center | 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 | 2013-09-30 |
| 1336492974 | Devadas Moses | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2012-10-19 |
| Find all providers in RIVERSIDE | ||||
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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.