ELDORADO COMMUNITY SERVICE CENTER (NPI# 1174803852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174803852 |
Entity Type | Organization |
Organization Name | ELDORADO COMMUNITY SERVICE CENTER |
Practice Address |
8207 Whittier Blvd Pico Rivera CA 90660-2521 |
Mailing Address |
Po Box 801809 Valencia CA 91380-1809 |
Practice Telephone | 5626922522 |
Practice Fax Number | 5626950413 |
Mailing Telephone | 6612546630 |
Mailing Fax Number | 6612546644 |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-08-25 |
Authorized Official Name | PRAMESH P SHARMA (CFO) |
Authorized Official Telephone | 6612546630 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1700882156 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669813515 | Eldorado Community Service Center | Clinic/Center | 9442/9500 International Blvd., Oakland, CA 94603-1444 | 2013-07-08 |
1316039241 | Eldorado Community Service Center | Clinic/Center | 4023 Marine Ave, Lawndale, CA 90260-1840 | 2006-09-28 |
1851705909 | Eldorado Community Service Center | Health Maintenance Organization | 24625 Arch St, Santa Clarita, CA 91321-1111 | 2014-06-17 |
1154681245 | Eldorado Community Service Center | Clinic/Center | 100 E Market St, Long Beach, CA 90805-5924 | 2012-05-22 |
1568722890 | Eldorado Community Service Center | Clinic/Center | 2272 Pacific Ave, Suite A, Long Beach, CA 90806-4312 | 2012-05-21 |
Street Address |
8207 WHITTIER BLVD |
City | PICO RIVERA |
State | CA |
Zip Code | 90660-2521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427127174 | Tavarua Medical Rehabilitation Services | Clinic/Center | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2006-11-07 |
1073124442 | Tyresha Lanee Puckett | Licensed Vocational Nurse | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2020-08-11 |
1255977575 | Rodolcita C Perez | Licensed Vocational Nurse | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2019-11-21 |
1619431806 | Marcelo Tejada | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2019-01-22 |
1679093207 | Michelle Denise Vigil | Licensed Vocational Nurse | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2017-06-24 |
1124427760 | Diana Patricia Quintero | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2014-08-20 |
1063837227 | Christine Diana Richer | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2014-02-25 |
1598193682 | Eric Dominic Estrada | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2013-10-28 |
1740614114 | Jeffrey Edward Vasquez | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2013-08-21 |
1215296421 | Barbara Lynn Espinoza | Counselor | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2012-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
Find all providers in zip 90660 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427127174 | Tavarua Medical Rehabilitation Services | Clinic/Center | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2006-11-07 |
1679024467 | La Cliniquita, Inc. | Clinic/Center | 6505 Rosemead Blvd Ste 106, Pico Rivera, CA 90660-3542 | 2016-10-17 |
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1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
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1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
Find all providers with the same taxonomy |
City | PICO RIVERA |
Zip Code | 90660 |
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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.