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).
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 |
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 Name | Type Code |
---|---|
METROPOLITAN FAMILY MEDICAL GROUP - RIVERSIDE | Doing Business As Name - Organization |
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 |
Street Address |
4990 ARLINGTON AVE STE D |
City | RIVERSIDE |
State | CA |
Zip Code | 92504-2757 |
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 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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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.