AVENAL COMMUNITY HEALTH CENTER (NPI# 1437763612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437763612 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Practice Address |
229 W Cherry Ave Porterville CA 93257-3401 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5597890277 |
| Mailing Telephone | 5593864500 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | HEMANTA MUNGUR (CFO) |
| Authorized Official Telephone | 5593864500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ACHC Provider Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516438 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste A, Avenal, CA 93204-1850 | 2020-04-14 |
| 1265051882 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste B, Avenal, CA 93204-1850 | 2020-04-14 |
| 1174142798 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste C, Avenal, CA 93204-1850 | 2020-04-14 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1700448636 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste F, Tulare, CA 93274-2243 | 2019-07-01 |
| 1871064485 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste E, Tulare, CA 93274-2243 | 2018-12-07 |
| 1306349501 | Avenal Community Health Center | Clinic/Center | 271 N L St, Dinuba, CA 93618-2107 | 2018-03-14 |
| 1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
| 1225557739 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 103, Hanford, CA 93230-4533 | 2017-09-15 |
| 1467971960 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 107, Hanford, CA 93230-4533 | 2017-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AVENAL COMMUNITY HEALTH CENTER | 555 E St, Lemoore, CA 93245-2617 |
| Street Address |
229 W CHERRY AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598189 | J. Myron Lord | Obstetrics & Gynecology | 229 W Cherry Ave, Porterville, CA 93257 | 2006-07-13 |
| 1609341197 | Ayesha Fazli Walden | Nurse Practitioner | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2018-10-10 |
| 1659866879 | Avenal Community Health Center | Clinic/Center | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2018-06-29 |
| 1144608811 | Infinite Care Womens Health Inc | Obstetrics & Gynecology | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2015-05-13 |
| 1164743399 | Virinder K. Bhardwaj, Md, Inc. | Urology | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2010-06-22 |
| 1508005166 | Tule River Indian Health Center, Inc | General Practice | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2009-02-05 |
| 1093988099 | J. Myron Lord, M.d.,inc. | Obstetrics & Gynecology | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2008-04-10 |
| 1427075175 | Satwant S Dhillon | Obstetrics & Gynecology | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on AVENAL COMMUNITY HEALTH CENTER.
| 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.