EL DORADO COMMUNITY SERVICE CENTER (NPI# 1568677235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568677235 |
| Entity Type | Organization |
| Organization Name | EL DORADO COMMUNITY SERVICE CENTER |
| Practice Address |
5200 San Gabriel Pl Suite B & C Pico Rivera CA 90660-2497 |
| Mailing Address |
26460 Summit Cir Santa Clarita California CA 91350-2991 |
| Practice Telephone | 5622221331 |
| Practice Fax Number | 5622221322 |
| Mailing Telephone | 6612546630 |
| Mailing Fax Number | 6612546630 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MR. PRAMESH PRAKASH SHARMA (SR V P) |
| Authorized Official Telephone | 6612546630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
19AP | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE NTP LICENSE | 19-148 | 01 |
| CA | ADPA | 19AP | 01 |
| Other Name | Type Code |
|---|---|
| Eastside Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427469386 | El Dorado Community Service Center | Clinic/Center | 21619 Norwalk Blvd, Hawaiian Gardens, CA 90716-1123 | 2014-05-14 |
| 1609287564 | El Dorado Community Service Center | Clinic/Center | 14611 Hawthorne Blvd, Lawndale, CA 90260-1522 | 2014-05-14 |
| 1083040216 | El Dorado Community Service Center | Clinic/Center | 540 S San Pedro St, Los Angeles, CA 90013-2102 | 2013-09-19 |
| 1912254418 | El Dorado Community Service Center | Clinic/Center | 472 S Citrus Ave, Azusa, CA 91702-4733 | 2012-08-14 |
| 1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
| 1932338241 | El Dorado Community Service Center | Clinic/Center | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2009-07-08 |
| 1508935230 | El Dorado Community Service Center | Clinic/Center | 24625 Arch St, Newhall, CA 91321-1111 | 2006-11-07 |
| 1518036037 | El Dorado Community Service Center | Clinic/Center | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-07 |
| 1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
| 1821167305 | El Dorado Community Service Center | Clinic/Center | 21507 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-07 |
| Street Address |
5200 SAN GABRIEL PL SUITE B & C |
| City | PICO RIVERA |
| State | CA |
| Zip Code | 90660-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
| 1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
| 1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
| 1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
| 1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
| 1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
| 1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
| 1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
| Find all providers in zip 90660 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
| 1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
| 1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
| Find all providers with the same taxonomy | ||||
| City | PICO RIVERA |
| Zip Code | 90660 |
Please comment or provide details below to improve the information on EL DORADO COMMUNITY SERVICE 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.