MISSION CITY COMMUNITY NETWORK, INC. (NPI# 1063039469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063039469 |
| Entity Type | Organization |
| Organization Name | MISSION CITY COMMUNITY NETWORK, INC. |
| Practice Address |
3220 N Bronco St Las Vegas NV 89108-4862 |
| Mailing Address |
8527 Sepulveda Blvd North Hills CA 91343-5824 |
| Practice Telephone | 8188953100 |
| Practice Fax Number | 8188300811 |
| Mailing Telephone | 8188953100 |
| Mailing Fax Number | 8188305691 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | NIK GUPTA (CEO) |
| Authorized Official Telephone | 8188953100 |
| 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 |
|---|---|---|---|---|
| 1992246979 | Mission City Community Network, Inc. | Clinic/Center | 2655 W. Olympic Blvd., Los Angeles, CA 90006-2810 | 2017-03-10 |
| 1174971741 | Mission City Community Network, Inc. | Clinic/Center | 359 N Fairfax Ave, Los Angeles, CA 90036-2179 | 2016-05-24 |
| 1790133379 | Mission City Community Network, Inc. | Clinic/Center | 405 E Buena Vista St, Barstow, CA 92311-2815 | 2016-05-24 |
| 1043593304 | Mission City Community Network, Inc. | Clinic/Center | 15210 Parthenia St., North Hills, CA 91343 | 2011-09-23 |
| 1275786402 | Mission City Community Network, Inc. | Clinic/Center | 8363 Reseda Blvd Ste 11, Northridge, CA 91324-4694 | 2008-10-31 |
| 1306017603 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2008-03-14 |
| 1760409791 | Mission City Community Network, Inc. | Clinic/Center | 15206 Parthenia St, North Hills, CA 91343-5305 | 2006-07-16 |
| 1780199307 | Mission City Community Network, Inc. | Clinic/Center | 222 W Eulalia St Ste 301, Glendale, CA 91204-2851 | 2017-12-05 |
| 1083062343 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2016-05-27 |
| 1528416104 | Mission City Community Network, Inc. | Clinic/Center | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2016-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSION CITY COMMUNITY NETWORK, INC. | 15206/15210 Parthenia St, North Hills, CA 91343 |
| Street Address |
3220 N BRONCO ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639398597 | Jay A Johnson Dds Ltd | Dentist | 3220 N Bronco St, Ste 102, Las Vegas, NV 89108-4863 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| 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 |
|---|---|---|---|---|
| 1801357108 | All for Health Health for All Inc | Clinic/Center | 7477 W Lake Mead Blvd Ste 106, Las Vegas, NV 89128-0374 | 2019-03-28 |
| 1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
| 1356806061 | Silver State Health Services | Clinic/Center | 2215c Renaissance Dr, Las Vegas, NV 89119-6729 | 2019-02-06 |
| 1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
| 1912127630 | El Centro Family Health | Clinic/Center | 901 Baca, Las Vegas, NM 87701-2627 | 2007-04-26 |
| 1417075375 | Nevada Health Centers Inc | Clinic/Center | 403 W Wilson, Las Vegas, NV 89106 | 2007-03-27 |
| 1447378310 | Nevada Health Centers Inc | Clinic/Center | 2800 Stewart Ave, Las Vegas, NV 89101-4722 | 2007-03-27 |
| 1962520239 | Nevada Health Centers Inc | Clinic/Center | 2839 Burnham Ave, Las Vegas, NV 89169-1793 | 2007-03-26 |
| 1730113465 | Nevada Health Centers Inc | Clinic/Center | 310 9th St, Ste 110, Las Vegas, NV 89101 | 2006-07-10 |
| 1932745668 | Southern Nevada Health District | Clinic/Center | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-11-18 |
| Find all providers in LAS VEGAS | ||||
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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.