EL DORADO COMMUNITY SERVICE CENTER (NPI# 1912254418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912254418 |
| Entity Type | Organization |
| Organization Name | EL DORADO COMMUNITY SERVICE CENTER |
| Practice Address |
472 S Citrus Ave Azusa CA 91702-4733 |
| Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
| Practice Telephone | 6268589500 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | SEANJAY RAMANAND SHARMA (PRESIDENT) |
| Authorized Official Telephone | 6612546630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427469386 | El Dorado Community Service Center | Clinic/Center | 21619 Norwalk Blvd, Hawaiian Gardens, CA 90716-1123 | 2014-05-14 |
| 1609287564 | El Dorado Community Service Center | Clinic/Center | 14611 Hawthorne Blvd, Lawndale, CA 90260-1522 | 2014-05-14 |
| 1083040216 | El Dorado Community Service Center | Clinic/Center | 540 S San Pedro St, Los Angeles, CA 90013-2102 | 2013-09-19 |
| 1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
| 1932338241 | El Dorado Community Service Center | Clinic/Center | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2009-07-08 |
| 1568677235 | El Dorado Community Service Center | Clinic/Center | 5200 San Gabriel Pl Suite B & C, Pico Rivera, CA 90660-2497 | 2007-05-14 |
| 1508935230 | El Dorado Community Service Center | Clinic/Center | 24625 Arch St, Newhall, CA 91321-1111 | 2006-11-07 |
| 1518036037 | El Dorado Community Service Center | Clinic/Center | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-07 |
| 1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
| 1821167305 | El Dorado Community Service Center | Clinic/Center | 21507 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-07 |
| Street Address |
472 S CITRUS AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-4733 |
| 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 |
| Find all providers in zip 91702 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679848568 | Tavarua Medical Rehabilitation Services | Clinic/Center | 474 S Citrus Ave, Azusa, CA 91702-4733 | 2012-03-12 |
| 1407033277 | Pueblo Medical Associates Inc. | Clinic/Center | 529 N Azusa Ave, Azusa, CA 91702-2936 | 2008-01-23 |
| 1063623387 | Alas Medical Clinic, Inc. | Clinic/Center | 545 N San Gabriel Ave, Azusa, CA 91702-2939 | 2007-05-25 |
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| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| 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.