UNICARE COMMUNITY HEALTH CENTER, INC. (NPI# 1174984041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174984041 |
Entity Type | Organization |
Organization Name | UNICARE COMMUNITY HEALTH CENTER, INC. |
Practice Address |
16127 Foothill Blvd Fontana CA 92335-3374 |
Mailing Address |
437 N Euclid Ave Ontario CA 91762-3456 |
Practice Telephone | 9093470700 |
Mailing Telephone | 9099882555 |
Mailing Fax Number | 9093913081 |
Enumeration Date | 2016-03-18 |
Last Update Date | 2018-12-21 |
Authorized Official Name | AVETIK MACHKALYAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9099882555 |
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 |
---|---|---|---|---|
1356763155 | Unicare Community Health Center, Inc. | Clinic/Center | 1501 E Holt Ave Ste A, Pomona, CA 91767-5823 | 2014-01-13 |
1265854061 | Unicare Community Health Center, Inc. | Clinic/Center | 570 S Mount Vernon Ave, Suite G, San Bernardino, CA 92410-2760 | 2014-01-13 |
1861925679 | Unicare Community Health Center, Inc. | Clinic/Center | 2409 N Broadway, Los Angeles, CA 90031-2218 | 2017-04-07 |
1447604582 | Unicare Community Health Center, Inc. | Clinic/Center | 308 N La Cadena Dr, Colton, CA 92324-2946 | 2016-04-14 |
1710309513 | Unicare Community Health Center, Inc. | Clinic/Center | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2014-01-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UNICARE COMMUNITY HEALTH CENTER, INC. | 437 N Euclid Ave, Ontario, CA 91762-3456 |
Street Address |
16127 FOOTHILL BLVD |
City | FONTANA |
State | CA |
Zip Code | 92335-3374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629205422 | Vida Medical Center, Inc | General Practice | 16127 Foothill Blvd, Fontana, CA 92335-3374 | 2009-06-18 |
1598127755 | Leslie Joan Vandover | Registered Nurse | 16127 Foothill Blvd, Fontana, CA 92335 | 2016-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
Find all providers in zip 92335 |
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 |
---|---|---|---|---|
1558901959 | Borrego Community Health Foundation | Clinic/Center | 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | 2020-01-14 |
1003373812 | Unicare Community Health Center Inc | Clinic/Center | 17500 Foothill Blvd Ste A2, Fontana, CA 92335-3798 | 2019-02-28 |
1619330438 | Central Neighborhood Health Foundation | Clinic/Center | 17695 Arrow Blvd, Fontana, CA 92335 | 2016-03-30 |
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1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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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.