CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (NPI# 1033488416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033488416 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
1860 Hamner Ave Norco CA 92860 |
| Mailing Address |
1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 |
| Practice Telephone | 9514790070 |
| Practice Fax Number | 9514790074 |
| Mailing Telephone | 3237240019 |
| Mailing Fax Number | 3232487044 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MARICELA MENDOZA (MANAGED CARE LEAD) |
| Authorized Official Telephone | 3237240019 |
| 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 |
| 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 |
| 1508254814 | Central City Community Health Center, Inc. | General Practice | 81709 Dr Carreon Blvd Ste E1, Indio, CA 92201-5589 | 2015-01-08 |
| 1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
| 1558770818 | Central City Community Health Center, Inc. | General Practice | 4160 Maine Ave Ste B1b2b3, Baldwin Park, CA 91706-3304 | 2014-08-11 |
| 1285788059 | Central City Community Health Center, Inc. | General Practice | 2237 W Ball Rd, Anaheim, CA 92804 | 2007-01-22 |
| 1144842014 | Central City Community Health Center, Inc. | Clinic/Center | 1814 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-05-13 |
| 1598386559 | Central City Community Health Center, Inc. | Clinic/Center | 1820 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-04-30 |
| 1194265637 | Central City Community Health Center, Inc. | Clinic/Center | 5715 S Broadway, Los Angeles, CA 90037 | 2017-03-02 |
| 1972040467 | Central City Community Health Center, Inc. | Clinic/Center | 268 Mcarthur Way, Upland, CA 91786-5615 | 2017-01-23 |
| 1407230899 | Central City Community Health Center, Inc. | Clinic/Center | 2243 W Ball Rd, Anaheim, CA 92804 | 2015-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. | 1000 San Gabriel Blvd, Ste 200, Rosemead, CA 91770-4394 |
| Street Address |
1860 HAMNER AVE |
| City | NORCO |
| State | CA |
| Zip Code | 92860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770750788 | Fernando Hool | Physician Assistant | 1860 Hamner Ave, Norco, CA 92860-2945 | 2008-05-09 |
| 1093196578 | Veronica D Spencer | Physician Assistant | 1860 Hamner Ave, Norco, CA 92860-2945 | 2015-06-10 |
| 1003158353 | Angelique Babette Carter | Registered Nurse | 1860 Hamner Ave, Norco, CA 92860 | 2013-03-25 |
| 1134463532 | Iliana Aimee Aguila | Family Medicine | 1860 Hamner Ave, Norco, CA 92860-2945 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466119 | Julie Chang | Pharmacist | 1101 Hidden Valley Parkway, Norco, CA 92860 | 2020-01-08 |
| 1629629241 | Abbey West Transportation LLC | Non-emergency Medical Transport (VAN) | 1791 Third St, Norco, CA 92860 | 2019-09-25 |
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1942713417 | Pakravan Dental Corporation | Dentist | 2440 River Road, Suite 140, Norco, CA 92860 | 2017-11-07 |
| 1003202938 | Christina Cowell | Dental Assistant | 4033 Bluff St, Noroc, CA 92860 | 2015-04-07 |
| 1811301575 | Kenneth John Conlan | Counselor | 630 Winchester Dr., Norco, CA 92860 | 2014-06-19 |
| 1336489384 | Hyangsook Jung | Psychologist | 5th St. and Western Ave., Norco, CA 92860 | 2013-02-27 |
| 1386913275 | Shirley Nguyen | Pharmacist | 5th Street & Western Avenue, Norco, CA 92860 | 2011-12-21 |
| 1609168301 | Nicole Nadine Ortiz | Occupational Therapist | 2820 Clark Ave., Norco, CA 92860 | 2011-05-12 |
| 1861793739 | Peter A Petito | Psychologist | 5th and Western Ave., California Rehabilitation Center, Norco, CA 92860 | 2010-11-09 |
| Find all providers in zip 92860 | ||||
| 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.