EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1679193320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679193320 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
1400 E Mission Blvd Pomona CA 91766-2229 |
| Mailing Address |
420 S Glendora Ave West Covina CA 91790-3001 |
| Practice Telephone | 9096208088 |
| Practice Fax Number | 9096239648 |
| Mailing Telephone | 6269194333 |
| Mailing Fax Number | 6269192084 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| 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) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4368 Santa Anita Ave, El Monte, CA 917311606 | 6269194333 | 6269192084 |
| 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 |
| 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 |
| 1598007197 | East Valley Community Health Center, Inc. | Clinic/Center | 14101 Nelson Ave, La Puente, CA 91746-2640 | 2013-03-21 |
| 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 |
1400 E MISSION BLVD |
| City | POMONA |
| State | CA |
| Zip Code | 91766-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| 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 |
|---|---|---|---|---|
| 1972844272 | East Valley Community Health Center, Inc. | Clinic/Center | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2013-03-12 |
| 1093085565 | State of California - Department of Developmental Services | Clinic/Center | 3530 W Pomona Blvd, Pomona, CA 91768-3238 | 2011-12-30 |
| 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 |
| 1649324443 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-01-22 |
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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.