EAST VALLEY COMMUNITY HEALTH CENTER, INC.


Address: 276 West College Street, Covina, CA 91723-1902
Phone: 6269194333

EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1285046847) 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) 1285046847
Entity Type Organization
Organization Name EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Other Organization Name EAST VALLEY COMMUNITY HEALTH CENTER, INC.-INTERCOMMUNITY CAMPUS
Practice Address 276 West College Street
Covina
CA 91723-1902
Mailing Address 420 South Glendora Avenue
West Covina
CA 91790-3001
Practice Telephone 6269194333
Practice Fax Number 6269192084
Mailing Telephone 6269194333
Mailing Fax Number 6269192084
Enumeration Date 2014-05-29
Last Update Date 2014-06-12
Authorized Official Name ALICIA MARDINI (CHIEF EXEC. OFFICER)
Authorized Official Telephone 6269194333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
960000806 CA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
East Valley Community Health Center, Inc.-Intercommunity Campus Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679193320 East Valley Community Health Center, Inc. Clinic/Center 1400 E Mission Blvd, Pomona, CA 91766-2229 2020-04-23
1861983470 East Valley Community Health Center, Inc. Clinic/Center 17800 Renault St, La Puente, CA 91744-5333 2018-05-21
1386912202 East Valley Community Health Center, Inc. Clinic/Center 17840 Villa Corta St, La Puente, CA 91744-5342 2011-12-06
1518587435 East Valley Community Health Center, Inc. Clinic/Center 4368 Santa Anita Ave, El Monte, CA 91731-1606 2020-04-21
1598007197 East Valley Community Health Center, Inc. Clinic/Center 14101 Nelson Ave, La Puente, CA 91746-2640 2013-03-21
1972844272 East Valley Community Health Center, Inc. Clinic/Center 831 E Arrow Hwy, Pomona, CA 91767-2535 2013-03-12
1952427411 East Valley Community Health Center, Inc. Clinic/Center 420 S Glendora Ave, West Covina, CA 91790-3001 2007-03-22
1700902251 East Valley Community Health Center, Inc. Clinic/Center 1555 S Garey Ave, Pomona, CA 91766-5222 2007-03-22
1619093168 East Valley Community Health Center, Inc. Clinic/Center 1555 S Garey Ave, Pomona, CA 91766-5222 2007-03-22
1023134582 East Valley Community Health Center, Inc. Clinic/Center 420 S Glendora Ave, West Covina, CA 91790-3001 2007-03-22

Office Location

Street Address 276 WEST COLLEGE STREET
City COVINA
State CA
Zip Code 91723-1902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550593 Joshua Mercado Behavior Technician 210 N. Citrus Ave., Covina, CA 91723 2020-08-26
1578104790 Alda Shin Shin Behavioral Analyst 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 2019-09-30
1063074490 Julia De La Torre Student in an Organized Health Care Education/Training Program 540 S Eremland Drive, Covina, CA 91723 2019-07-05
1336639368 Counseling Solutions for Children and Families, Psychology Corporation Community/Behavioral Health 271 E Workman St Ste 101, Covina, CA 91723 2018-05-15
1669995916 Helen Wang Le Optometrist 554 E San Bernardino Rd Ste 102, Covina, CA 91723 2017-07-19
1992242879 Donovan Kouthiraj Behavior Technician 210 N Citrus Ave Ste A1, Covina, CA 91723 2017-01-30
1427406339 Robinson Baron Medical Clinic Surgery 274 W Badillo Street, Covina, CA 91723 2016-06-01
1306211123 Absolute Senior Care Services, Inc In Home Supportive Care 599 S Barranca Ave Ste 205, Covina, CA 91723 2015-12-04
1780061135 Mohan Ckd Clinic Internal Medicine 171 W Cottage St, Covina, CA 91723 2015-05-05
1992198915 Toshihisa Takei Otolaryngology 202 West College Street, Covina, CA 91723 2015-03-16
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City COVINA
Zip Code 91723

Improve Information

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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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