CENTRAL CITY COMMUNITY HEALTH CENTER, INC.


Address: 12511 Brookhurst St, Garden Grove, CA 92840
Phone: 7146437176

CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (NPI# 1588972129) 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) 1588972129
Entity Type Organization
Organization Name CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Practice Address 12511 Brookhurst St
Garden Grove
CA 92840
Mailing Address 1000 San Gabriel Blvd Ste 200
Rosemead
CA 91770-4394
Practice Telephone 7146437176
Practice Fax Number 7146437180
Mailing Telephone 3237240019
Mailing Fax Number 3232487044
Enumeration Date 2010-09-16
Last Update Date 2020-02-11
Authorized Official Name MARICELA MENDOZA (MANAGED CARE LEAD)
Authorized Official Telephone 3237240019
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA 1235283094 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174996318 Central City Community Health Center, Inc. Clinic/Center 268 Mcarthur Way Ste A, Upland, CA 91786-5615 2015-11-10
1508254814 Central City Community Health Center, Inc. General Practice 81709 Dr Carreon Blvd Ste E1, Indio, CA 92201-5589 2015-01-08
1972912236 Central City Community Health Center, Inc. Clinic/Center 10050 Garvey Ave Ste 111, El Monte, CA 91733 2014-08-11
1558770818 Central City Community Health Center, Inc. General Practice 4160 Maine Ave Ste B1b2b3, Baldwin Park, CA 91706-3304 2014-08-11
1285788059 Central City Community Health Center, Inc. General Practice 2237 W Ball Rd, Anaheim, CA 92804 2007-01-22
1144842014 Central City Community Health Center, Inc. Clinic/Center 1814 W Lincoln Ave, Anaheim, CA 92801-6730 2020-05-13
1598386559 Central City Community Health Center, Inc. Clinic/Center 1820 W Lincoln Ave, Anaheim, CA 92801-6730 2020-04-30
1194265637 Central City Community Health Center, Inc. Clinic/Center 5715 S Broadway, Los Angeles, CA 90037 2017-03-02
1972040467 Central City Community Health Center, Inc. Clinic/Center 268 Mcarthur Way, Upland, CA 91786-5615 2017-01-23
1407230899 Central City Community Health Center, Inc. Clinic/Center 2243 W Ball Rd, Anaheim, CA 92804 2015-07-15

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CENTRAL CITY COMMUNITY HEALTH CENTER, INC. 1000 San Gabriel Blvd, Ste 200, Rosemead, CA 91770-4394

Office Location

Street Address 12511 BROOKHURST ST
City GARDEN GROVE
State CA
Zip Code 92840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720024441 Gerald Colborne Weeks II Chiropractor 12511 Brookhurst St, Garden Grove, CA 92840-4806 2006-06-21
1144529926 Erin Benesch Psychiatry & Neurology 12511 Brookhurst St, 2 Fl, Garden Grove, CA 92840-4806 2011-03-20
1902972938 Tu Catherine Dao Dentist 12511 Brookhurst St, Garden Grove, CA 92840-4806 2006-11-28
1477625630 Robert Lee Jones Dentist 12511 Brookhurst St, Garden Grove, CA 92840-4806 2006-11-14
1861428971 Robert F Myers Psychologist 12511 Brookhurst St, Garden Grove, CA 92840-4806 2006-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588283808 Kimberly Gaeta Behavioral Analyst 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 2020-04-16
1396397170 Rosa Cortez Behavior Technician 12443 Lewis Street, #201, Garden Grove, CA 92840 2019-07-12
1376005934 Sekboppa Sor Nurse Practitioner An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 2019-04-03
1346730116 Vinh Le Tran Pharmacist 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 2018-05-16
1841715232 Scott R. Blair Physician Assistant 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 2017-08-07
1881049492 Carmen Keally Dietitian, Registered 12602 9th St, Garden Grove, CA 92840 2016-05-02
1548688732 House Call Medical Associates, Inc. Internal Medicine 12865 Main St Ste 105, Garden Grove, CA 92840 2014-04-03
1851733059 Carly Ann Wade Marriage & Family Therapist 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 2013-07-29
1003159864 Priyal Shah Ohri Dentist 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 2013-03-30
1770853244 Joseph Pham Pharmacist 12001 Euclid St., Garden Grove, CA 92840 2011-12-30
Find all providers in zip 92840

Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548813041 Families Together of Orange County Clinic/Center 9918 W. Katella, Suite A, Garden Grove, CA 92804-9280 2019-07-23
1285708818 Southland Integrated Services, Inc. Clinic/Center 9862 Chapman Ave, Garden Grove, CA 92841-2726 2006-11-17

Providers in the same taxonomy and state

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1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1821697483 North East Medical Services Clinic/Center 2633 San Bruno Ave, San Francisco, CA 94134-1597 2020-10-23
1508465303 Valley Health Team, Inc Clinic/Center 459 W Line St Ste C, Bishop, CA 93514-3333 2020-10-22
1699373209 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 2020-10-15
1508464116 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 2020-10-15
1134727746 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 2020-10-15
1083221451 Harmony Health Medical Clinic and Family Resource Center Clinic/Center 1930 N. Beale Road, Marysville, CA 95901-6915 2020-09-29
1235745928 Community Medical Centers Inc Clinic/Center 747 E Channel St, Stockton, CA 95202-2628 2020-09-18
1760098503 Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare Clinic/Center 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 2020-09-17
1164037149 Camarena Health Clinic/Center 16645 Road 26, Madera, CA 93638-0830 2020-09-15
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Competitor

Search similar providers

City GARDEN GROVE
Zip Code 92840

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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