MISSION CITY COMMUNITY NETWORK, INC. (NPI# 1164870739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164870739 |
Entity Type | Organization |
Organization Name | MISSION CITY COMMUNITY NETWORK, INC. |
Practice Address |
1661 W Broadway Anaheim CA 92802-1110 |
Mailing Address |
15206 Parthenia St North Hills CA 91343-5305 |
Practice Telephone | 8188953100 |
Enumeration Date | 2016-05-24 |
Last Update Date | 2018-09-25 |
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 |
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 |
1661 W BROADWAY |
City | ANAHEIM |
State | CA |
Zip Code | 92802-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396814570 | Navin Saran | Internal Medicine | 1661 W Broadway, 14, Anaheim, CA 92802-1110 | 2006-11-06 |
1336203421 | Miguel I Fiol | Dentist | 1661 W Broadway, Ste 12, Anaheim, CA 92802 | 2006-12-21 |
1811065691 | Justin T Chuang | Obstetrics & Gynecology | 1661 W Broadway, Suite 11, Anaheim, CA 92802 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
Find all providers in zip 92802 |
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 |
---|---|---|---|---|
1386291466 | Altamed Health Services Corp | Clinic/Center | 1325 N Anaheim Blvd Ste 101, Anaheim, CA 92801-1202 | 2019-08-22 |
1184279952 | Share Our Selves Corporation | Clinic/Center | 1000 N Kraemer Pl Ste 204, Anaheim, CA 92806-2610 | 2019-08-07 |
1144760943 | Hurtt Family Health Clinic Inc. | Clinic/Center | 947 S Anaheim Blvd Ste 260, Anaheim, CA 92805-5591 | 2017-02-28 |
1598790529 | University of California Irvine | Clinic/Center | 2441 W La Palma Ave, Anaheim, CA 92801-2658 | 2006-07-11 |
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 |
1932756764 | Altamed Health Services Corp | Clinic/Center | 1325 N Anaheim Blvd Ste 200, Anaheim, CA 92801-1202 | 2019-08-26 |
1942717699 | Southland Integrated Services, Inc. | Clinic/Center | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | 2018-01-03 |
1245605765 | Central City Community Health Center | Clinic/Center | 3111 W Orange Ave, Anaheim, CA 92804-3145 | 2015-12-09 |
1407230899 | Central City Community Health Center, Inc. | Clinic/Center | 2243 W Ball Rd, Anaheim, CA 92804 | 2015-07-15 |
Find all providers in ANAHEIM |
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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.