RANCHO PASEO MEDICAL GROUP OPERATED BY NEIGHBORHOOD HEALTHCARE (NPI# 1629601653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629601653 |
| Entity Type | Organization |
| Organization Name | RANCHO PASEO MEDICAL GROUP OPERATED BY NEIGHBORHOOD HEALTHCARE |
| Other Organization Name | RANCHO PASEO MEDICAL GROUP OPERATED BY NEIGHBORHOOD HEALTHCARE |
| Practice Address |
264 N Highland Springs Ave Ste 4 Banning CA 92220-3082 |
| Mailing Address |
425 N Date St Escondido CA 92025-3413 |
| Practice Telephone | 7605208300 |
| Mailing Telephone | 7607376925 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | RAKESH PATEL (CEO) |
| Authorized Official Telephone | 7607376960 |
| Authorized Official Credential | MD, MBA |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 751920 | 05 |
| Other Name | Type Code |
|---|---|
| Rancho Paseo Medical Group Operated by Neighborhood Healthcare | Doing Business As Name - Organization |
| Street Address |
264 N HIGHLAND SPRINGS AVE STE 4 |
| City | BANNING |
| State | CA |
| Zip Code | 92220-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598048407 | Alan A Valenzuela | Physician Assistant | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2011-09-27 |
| 1740809896 | Fatima Gutierrez | Physical Therapy Assistant | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2020-04-09 |
| 1821577222 | Natasha Stephanie Plantak | Physician Assistant | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2018-08-07 |
| 1740796358 | Carlene Willis | Nurse Practitioner | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2017-12-19 |
| 1396184685 | Candice Ji Eun Lee-wang | Family Medicine | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1841417300 | Riverside-san Bernardino County Indian Health, Inc. | Clinic/Center | 11555 Potrero Rd, Banning, CA 92220-6946 | 2007-04-19 |
| 1437202124 | Riverside-san Bernardino County Indian Health, Inc | Clinic/Center | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2007-01-18 |
| 1720178478 | Riverside/san Bernardino County Indian Health, Inc. | Clinic/Center | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2006-10-13 |
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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.