WHITNEY YOUNG FAMILY HEALTH CLINIC (NPI# 1255523759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255523759 |
| Entity Type | Organization |
| Organization Name | WHITNEY YOUNG FAMILY HEALTH CLINIC |
| Other Organization Name | INLAND BEHAVIORAL & HEALTH SERVICES, INC. |
| Practice Address |
1755 Maple St San Bernardino CA 92411-2441 |
| Practice Telephone | 9093867600 |
| Practice Fax Number | 9093867580 |
| Mailing Telephone | 9093867600 |
| Mailing Fax Number | 9093867580 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DR. TEMETRY ANN LINDSEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 9098816146 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND BEHAVIORAL & HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
240000839 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70520F | 05 |
| Other Name | Type Code |
|---|---|
| Inland Behavioral & Health Services, Inc. | Other Name - Individual/Organization |
| Street Address |
1755 MAPLE ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1336789890 | Borrego Community Health Foundation | Clinic/Center | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2020-01-13 |
| 1861032328 | Borrego Community Health Foundation | Clinic/Center | 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736 | 2020-01-13 |
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| 1841437241 | H Street Clinic Inc | Clinic/Center | 1329 N H St, San Bernardino, CA 92405-5039 | 2009-01-07 |
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| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on WHITNEY YOUNG FAMILY HEALTH CLINIC.
| 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.