EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1598007197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598007197 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | EVCHC - WILLOW CENTER |
| Practice Address |
14101 Nelson Ave La Puente CA 91746-2640 |
| 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 | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| 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) |
960000210 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EVCHC - Willow Center | Other Name - Individual/Organization |
| 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 |
| 1518587435 | East Valley Community Health Center, Inc. | Clinic/Center | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2020-04-21 |
| 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 |
14101 NELSON AVE |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91746-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700189495 | San Gabriel Valley Foundation for Dental Health | Dentist | 14101 Nelson Ave, La Puente, CA 91746-2640 | 2010-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
| 1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
| 1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
| 1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
| 1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
| 1952888331 | Joshua Rios | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2018-07-27 |
| 1447709175 | Evelyn Chavez | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2016-09-22 |
| 1295102861 | Leticia Miramontes Pelayo I | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2015-08-30 |
| 1619369196 | Samantha Valle | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2015-02-20 |
| Find all providers in zip 91746 | ||||
| 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 |
|---|---|---|---|---|
| 1861983470 | East Valley Community Health Center, Inc. | Clinic/Center | 17800 Renault St, La Puente, CA 91744-5333 | 2018-05-21 |
| 1386912202 | East Valley Community Health Center, Inc. | Clinic/Center | 17840 Villa Corta St, La Puente, CA 91744-5342 | 2011-12-06 |
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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.