BORREGO COMMUNITY HEALTH FOUNDATION


Address: 4990 Arlington Ave Ste D, Riverside, CA 92504-2757
Phone: 9517859011

BORREGO COMMUNITY HEALTH FOUNDATION (NPI# 1275173676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275173676
Entity Type Organization
Organization Name BORREGO COMMUNITY HEALTH FOUNDATION
Practice Address 4990 Arlington Ave Ste D
Riverside
CA 92504-2757
Mailing Address Po Box 2369
Borrego Springs
CA 92004-2369
Practice Telephone 9517859011
Enumeration Date 2020-01-14
Last Update Date 2020-01-14
Authorized Official Name MIKIA BRAYTON WALLIS (CEO)
Authorized Official Telephone 7607676641
Is Organization Subpart Y
Parent Organization Name BORREGO COMMUNITY HEALTH FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
METROPOLITAN FAMILY MEDICAL GROUP - RIVERSIDE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780295311 Borrego Community Health Foundation Community/Behavioral Health 1880 E Washington St Ste A, Colton, CA 92324-4621 2020-08-17
1558987206 Borrego Community Health Foundation Clinic/Center 264 N Highland Springs Ave # 1-a1b, Banning, CA 92220-3082 2020-06-18
1730712183 Borrego Community Health Foundation Clinic/Center 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262-4414 2020-02-13
1255971651 Borrego Community Health Foundation Clinic/Center 7576 Sterling Ave # C7d, San Bernardino, CA 92410-4273 2020-01-14
1184267825 Borrego Community Health Foundation Clinic/Center 1111 E Washington Ave # Abg, Escondido, CA 92025-2226 2019-10-25
1093251910 Borrego Community Health Foundation Dentist 590 Palm Canyon Dr., 212, Borrego Springs, CA 92004-2369 2017-01-17
1659824837 Borrego Community Health Foundation Pharmacy 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 2016-07-25
1306131545 Borrego Community Health Foundation Clinic/Center 8856 Arlington Avenue, Riverside, CA 92503-1365 2011-06-16
1023349883 Borrego Community Health Foundation Clinic/Center 1151 E Washington Ave Ste C, Escondido, CA 92025-2254 2010-01-19
1700946969 Borrego Community Health Foundation Family Medicine 2721 Washington St, Julian, CA 92036 2006-12-11

Office Location

Street Address 4990 ARLINGTON AVE STE D
City RIVERSIDE
State CA
Zip Code 92504-2757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659589489 Christine Joy Phongdara Nurse Practitioner 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 2007-05-17
1326585910 Bernadette Nkechi Akpengbe Nurse Practitioner 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 2017-01-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417573676 Chloe Ivana Licon Marriage & Family Therapist New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 2020-06-23
1720628993 Palm Lily LLC Non-emergency Medical Transport (VAN) 2900 Adams Street Suite A435, Riverside, CA 92504 2020-01-15
1538630959 Just for Kids Pediatric Dentistry Raymond Wang Dentist 7071 Indiana Ave, Riverside, CA 92504 2018-12-11
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1255833794 Adiana Loya Student in an Organized Health Care Education/Training Program 7550 Orchard St Apt #58, Riverside, CA 92504 2018-03-01
1023524162 Chiara Heyer Counselor 4130 Adams St Ste B, Riverside, CA 92504 2017-12-27
1801313408 Gustavo Gallo Avelar Behavioral Analyst 4125 Rucker Ln, Riverside, CA 92504 2017-08-24
1891226205 Susana Herold Assistant Behavior Analyst 17460 Krameria Ave, Riverside, CA 92504 2017-03-27
1710356167 Erandi Portugal Counselor 6711 Alrington Avenue, Riverside, CA 92504 2015-09-16
1548636012 Candace Lauren Bynder Counselor 6711 Arlington Avenue, Riverside, CA 92504 2015-08-19
Find all providers in zip 92504

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760098503 Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare Clinic/Center 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 2020-09-17
1538407325 Urban Community Action Projects Clinic/Center 2880 Hulen Place, Riverside, CA 92507-2606 2013-01-29
1306131545 Borrego Community Health Foundation Clinic/Center 8856 Arlington Avenue, Riverside, CA 92503-1365 2011-06-16
1568557205 Swope Health Services Clinic/Center 2906 Nw Vivion Rd, Riverside, MO 64150-1502 2006-10-04
1447872577 H Street Clinic Inc Clinic/Center 3750 Arlington Ave, Riverside, CA 92506-2607 2020-05-12
1043777089 Unicare Community Health Center Inc Clinic/Center 5549 Van Buren Blvd, Riverside, CA 92503-2068 2019-02-26
1285029462 Urban Community Action Projects Clinic/Center 2880 Hulen Pl, Riverside, CA 92507-2606 2015-04-03
1174950588 Urban Community Action Projects Clinic/Center 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 2013-09-30
1336492974 Devadas Moses Clinic/Center 2880 Hulen Pl, Riverside, CA 92507-2606 2012-10-19
1790075315 Borrego Community Health Foundation Clinic/Center 1970 University Ave, Riverside, CA 92507-5202 2011-04-15
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92504

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Dataset Information

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.

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