EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1518587435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518587435 |
Entity Type | Organization |
Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
Practice Address |
4368 Santa Anita Ave El Monte CA 91731-1606 |
Mailing Address |
420 S Glendora Ave West Covina CA 91790-3001 |
Practice Telephone | 6269194333 |
Practice Fax Number | 6269192084 |
Mailing Telephone | 6269194333 |
Mailing Fax Number | 6269192084 |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |
Authorized Official Name | ALICIA MARDINI (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6269194333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
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 |
1285046847 | East Valley Community Health Center, Inc. | Clinic/Center | 276 West College Street, Covina, CA 91723-1902 | 2014-05-29 |
1386912202 | East Valley Community Health Center, Inc. | Clinic/Center | 17840 Villa Corta St, La Puente, CA 91744-5342 | 2011-12-06 |
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 |
Street Address |
4368 SANTA ANITA AVE |
City | EL MONTE |
State | CA |
Zip Code | 91731-1606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508887761 | Ignacio De Artola Jr. | Family Medicine | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2006-07-22 |
1609351642 | Julia Pazos | Nurse Practitioner | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2018-09-26 |
1528348141 | Kevin Lohenry | Physician Assistant | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2011-08-26 |
1750585105 | Laura Nica | Nurse Practitioner | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2007-06-11 |
1245248376 | Rector Wardens and Vestry of The Church of Our Saviour In San Gabriel | Clinic/Center | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
Find all providers in zip 91731 |
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 |
---|---|---|---|---|
1104367572 | Center for Family Health & Education Inc | Clinic/Center | 3229 Santa Anita Ave Fl 1, El Monte, CA 91733-1359 | 2017-03-17 |
1477924520 | Community Health Alliance of Pasadena | Clinic/Center | 3703 Peck Rd, Suite A - C, El Monte, CA 91731-3543 | 2015-10-15 |
1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
1922429349 | Community Health Alliance of Pasadena | Clinic/Center | 10127 Garvey Ave, El Monte, CA 91733-2066 | 2014-01-02 |
1982814745 | Altamed Health Services Corp | Clinic/Center | 10418 East Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2007-05-23 |
1073809042 | Altamed Health Services Corp | Clinic/Center | 10418 Valley Blvd, Suite A, El Monte, CA 91731-3600 | 2011-06-28 |
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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.