EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1023134582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023134582 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
420 S Glendora Ave West Covina CA 91790-3001 |
| Practice Telephone | 6269195724 |
| Practice Fax Number | 9096239648 |
| Mailing Telephone | 6269195724 |
| Mailing Fax Number | 9096239648 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ALICIA MARDINI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6269194333 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EAP12048F | 05 |
| Other Name | Type Code |
|---|---|
| East Valley Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193320 | East Valley Community Health Center, Inc. | Clinic/Center | 1400 E Mission Blvd, Pomona, CA 91766-2229 | 2020-04-23 |
| 1861983470 | East Valley Community Health Center, Inc. | Clinic/Center | 17800 Renault St, La Puente, CA 91744-5333 | 2018-05-21 |
| 1285046847 | East Valley Community Health Center, Inc. | Clinic/Center | 276 West College Street, Covina, CA 91723-1902 | 2014-05-29 |
| 1386912202 | East Valley Community Health Center, Inc. | Clinic/Center | 17840 Villa Corta St, La Puente, CA 91744-5342 | 2011-12-06 |
| 1518587435 | East Valley Community Health Center, Inc. | Clinic/Center | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2020-04-21 |
| 1598007197 | East Valley Community Health Center, Inc. | Clinic/Center | 14101 Nelson Ave, La Puente, CA 91746-2640 | 2013-03-21 |
| 1972844272 | East Valley Community Health Center, Inc. | Clinic/Center | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2013-03-12 |
| 1952427411 | East Valley Community Health Center, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2007-03-22 |
| 1700902251 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-03-22 |
| 1619093168 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-03-22 |
| Street Address |
420 S GLENDORA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477505014 | Kimberly Jean Amato | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2006-05-16 |
| 1619469335 | Sarah Burton | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-05-30 |
| 1306341797 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-03-27 |
| 1073026324 | Crystal Ortiz | Dietitian, Registered | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-11-08 |
| 1083126403 | Gina M Liang | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-10-25 |
| 1285007302 | Magda Ulloa | Registered Nurse | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-11-11 |
| 1760851752 | Arlene Guzman | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-09-19 |
| 1750766812 | Claudia Pineda | Social Worker | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-29 |
| 1396128690 | Charlene Schultz | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-04 |
| 1962884973 | Cheryl Alegria | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1730481318 | Altamed Health Services Corp | Clinic/Center | 1300 S Sunset Ave, West Covina, CA 91790-3342 | 2010-12-02 |
| 1053437509 | East Valley Community Health Center, Inc | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2007-03-22 |
| 1952427411 | East Valley Community Health Center, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2007-03-22 |
| 1831243625 | East Valley Community Health Center, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2007-01-22 |
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| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.