CENTRAL CITY COMMUNITY HLT CTR (NPI# 1851748164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851748164 |
Entity Type | Organization |
Organization Name | CENTRAL CITY COMMUNITY HLT CTR |
Practice Address |
811 E 11th St 203&204 Upland CA 91786-4871 |
Mailing Address |
5233 E Beverly Blvd Los Angeles CA 90022-2020 |
Practice Telephone | 3232487983 |
Enumeration Date | 2016-05-17 |
Last Update Date | 2016-05-17 |
Authorized Official Name | SHARON FELIX (BILLING MANAGER) |
Authorized Official Telephone | 3232487983 |
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 |
Street Address |
811 E 11TH ST 203&204 |
City | UPLAND |
State | CA |
Zip Code | 91786-4871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780664581 | Jonardi Handoko | Internal Medicine | 811 E 11th St, Ste 206, Upland, CA 91786 | 2006-01-18 |
1316225436 | Romeo Samouh | Family Medicine | 811 E 11th St, Ste 102, Upland, CA 91786-4871 | 2011-07-22 |
1295964815 | Angelina Pik Yin Cheng | Specialist | 811 E 11th St, Suite 102, Upland, CA 91786-4871 | 2009-07-02 |
1578762779 | Dwaraknath P. Reddy, M.d. | Internal Medicine | 811 E 11th St, Suite 208, Upland, CA 91786-4871 | 2007-07-17 |
1053448290 | William B. Mcleod | Obstetrics & Gynecology | 811 E 11th St, Suite 104, Upland, CA 91786-4871 | 2007-02-27 |
1760532071 | David Isami Igarashi | Pharmacy | 811 E 11th St, Suite 201, Upland, CA 91786-4871 | 2007-01-11 |
1588739379 | Mira Bharat Joshi | Pediatrics | 811 E 11th St, Ste 102, Upland, CA 91786-4871 | 2006-11-21 |
1417964917 | Dwaraknath Ponnalur Reddy | Internal Medicine | 811 E 11th St, Suite 208, Upland, CA 91786-4871 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
Find all providers in zip 91786 |
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 |
---|---|---|---|---|
1174996318 | Central City Community Health Center, Inc. | Clinic/Center | 268 Mcarthur Way Ste A, Upland, CA 91786-5615 | 2015-11-10 |
1972040467 | Central City Community Health Center, Inc. | Clinic/Center | 268 Mcarthur Way, Upland, CA 91786-5615 | 2017-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
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 |
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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.