MISSION CITY COMMUNITY NETWORK, INC. (NPI# 1528416104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528416104 |
Entity Type | Organization |
Organization Name | MISSION CITY COMMUNITY NETWORK, INC. |
Practice Address |
9808 Venice Blvd Culver City CA 90232-2732 |
Mailing Address |
8527 Sepulveda Blvd North Hills CA 91343-5824 |
Practice Telephone | 8188953100 |
Mailing Telephone | 8188953100 |
Mailing Fax Number | 8188939464 |
Enumeration Date | 2016-05-24 |
Last Update Date | 2018-01-05 |
Authorized Official Name | NIK GUPTA (CEO) |
Authorized Official Telephone | 8188953100 |
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 |
---|---|---|---|---|
1992246979 | Mission City Community Network, Inc. | Clinic/Center | 2655 W. Olympic Blvd., Los Angeles, CA 90006-2810 | 2017-03-10 |
1174971741 | Mission City Community Network, Inc. | Clinic/Center | 359 N Fairfax Ave, Los Angeles, CA 90036-2179 | 2016-05-24 |
1790133379 | Mission City Community Network, Inc. | Clinic/Center | 405 E Buena Vista St, Barstow, CA 92311-2815 | 2016-05-24 |
1043593304 | Mission City Community Network, Inc. | Clinic/Center | 15210 Parthenia St., North Hills, CA 91343 | 2011-09-23 |
1275786402 | Mission City Community Network, Inc. | Clinic/Center | 8363 Reseda Blvd Ste 11, Northridge, CA 91324-4694 | 2008-10-31 |
1306017603 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2008-03-14 |
1760409791 | Mission City Community Network, Inc. | Clinic/Center | 15206 Parthenia St, North Hills, CA 91343-5305 | 2006-07-16 |
1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
1780199307 | Mission City Community Network, Inc. | Clinic/Center | 222 W Eulalia St Ste 301, Glendale, CA 91204-2851 | 2017-12-05 |
1083062343 | Mission City Community Network, Inc. | Clinic/Center | 9919 Laurel Canyon Blvd, Pacoima, CA 91331-3940 | 2016-05-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MISSION CITY COMMUNITY NETWORK, INC. | 15206/15210 Parthenia St, North Hills, CA 91343 |
Street Address |
9808 VENICE BLVD |
City | CULVER CITY |
State | CA |
Zip Code | 90232-2732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669475273 | Amnon Licht | Internal Medicine | 9808 Venice Blvd, Ste 706, Culver City, CA 90232-6827 | 2005-05-27 |
1467053694 | Jiho Jung | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-11-04 |
1972101327 | Anderson Dasilva | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-10-16 |
1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
1821604174 | Enid Nyoh | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
1164038410 | Stella Sapigao | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
1073129326 | Onome Okoro | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
1124649355 | Yvette Ballesteros-lara | Rehabilitation Practitioner | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-04-28 |
1306314653 | Stella Yaghoubzadeh | Nurse Practitioner | 9808 Venice Blvd, Culver City, CA 90232 | 2018-11-05 |
1629579933 | Shekinah Martin | Social Worker | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2018-02-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
Find all providers in zip 90232 |
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 |
---|---|---|---|---|
1396380333 | Complete Care Community Health Center, Inc | Clinic/Center | 3831 Hughes Ave Ste 601, Culver City, CA 90232-6844 | 2019-11-13 |
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1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
Find all providers with the same taxonomy |
City | CULVER CITY |
Zip Code | 90232 |
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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.