CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (NPI# 1174757967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174757967 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
12116 Beach Blvd Stanton CA 90680 |
| Mailing Address |
1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 |
| Practice Telephone | 7148982222 |
| Practice Fax Number | 7148949865 |
| Mailing Telephone | 3237240019 |
| Mailing Fax Number | 3232487044 |
| Enumeration Date | 2009-05-07 |
| 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) |
960000901 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70614F | 05 |
| 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 |
12116 BEACH BLVD |
| City | STANTON |
| State | CA |
| Zip Code | 90680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629173364 | Hao Kim Cao | Family Medicine | 12116 Beach Blvd, Stanton, CA 90680-3704 | 2006-09-14 |
| 1891927828 | Adrian Hoang | Physician Assistant | 12116 Beach Blvd, Stanton, CA 90680-3704 | 2009-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1922609247 | Sterling Health Solutions Inc | Clinic/Center | 5099 Campton Rd, Stanton, KY 40380-9731 | 2020-11-03 |
| 1801497201 | Sterling Health Solutions Inc | Clinic/Center | 770 W College Ave, Stanton, KY 40380-2224 | 2020-11-03 |
| 1609477009 | Sterling Health Solutions Inc | Clinic/Center | 700 W College Ave, Stanton, KY 40380-2224 | 2020-11-03 |
| 1316548969 | Sterling Health Solutions Inc | Clinic/Center | 651 Breckenridge St, Stanton, KY 40380-2018 | 2020-11-02 |
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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.