MISSION CITY COMMUNITY NETWORK, INC. (NPI# 1063795250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063795250 |
| Entity Type | Organization |
| Organization Name | MISSION CITY COMMUNITY NETWORK, INC. |
| Practice Address |
513 E Lime Ave Suite 103 Monrovia CA 91016-2982 |
| Mailing Address |
15206 Parthenia St North Hills CA 91343-5305 |
| Practice Telephone | 8188953100 |
| Practice Fax Number | 8188939464 |
| Mailing Telephone | 8188953100 |
| Mailing Fax Number | 8188924651 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | NIK GUPTA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8188953100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
960000465 | CA | 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 |
| 1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
| 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 |
| 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 |
513 E LIME AVE SUITE 103 |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568595445 | Dianna Y Martinez | Rehabilitation Practitioner | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2007-03-13 |
| 1063805463 | Community Health Alliance of Pasadena | Clinic/Center | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2015-03-09 |
| 1316339880 | Sunjen Medical Inc. | Clinic/Center | 513 E Lime Ave, #201, Monrovia, CA 91016 | 2015-02-20 |
| 1164855540 | Juan Pabon | Case Manager/Care Coordinator | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2013-08-20 |
| 1891048955 | James Lawrence Welch | Case Manager/Care Coordinator | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2012-10-25 |
| 1780952879 | Urdc Human Services Corporation | Clinic/Center | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2011-12-05 |
| 1629375431 | Louis Chao-i Ho | Family Medicine | 513 E Lime Ave, #201, Monrovia, CA 91016 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881147429 | Alpha-links Inc | Clinic/Center | 10904 Veranda Ln, Monrovia, MD 21770-6009 | 2016-08-01 |
| 1316339880 | Sunjen Medical Inc. | Clinic/Center | 513 E Lime Ave, #201, Monrovia, CA 91016 | 2015-02-20 |
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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.