INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI# 1689811663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689811663 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE COMMUNITY TREATMENT CLINIC |
| Practice Address |
2127 E Avenue R Room 804,805,807,809 Palmdale CA 93550-5415 |
| Mailing Address |
19231 Victory Blvd Suite 554 Reseda CA 91335-6308 |
| Practice Telephone | 8187761755 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | ALEX BRANZBURG (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8187761755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960001358 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 196856000 | 05 | |
| CA | CMM70956F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134366115 | Independence Community Treatment Clinic | Clinic/Center | 10833 E Avenue R, Room 118, 119, 217, Littlerock, CA 93543-4106 | 2009-01-14 |
| 1881839926 | Independence Community Treatment Clinic | Clinic/Center | 2270 E Avenue Q, Room 101,102,103,104,105,106, and Cafeteria, Palmdale, CA 93550-4141 | 2008-12-03 |
| 1508001645 | Independence Community Treatment Clinic | Clinic/Center | 228 E Avenue H8, Room 101,102,103,104,105,106, and Cafeteria, Lancaster, CA 93535-1809 | 2008-12-03 |
| 1417192550 | Independence Community Treatment Clinic | Clinic/Center | 6040 W Avenue L, Room423,v3, Agi, Quartz Hill, CA 93536-4501 | 2008-12-03 |
| 1710122866 | Independence Community Treatment Clinic | Clinic/Center | 38801 Clock Tower Plaza Dr E, Room Community Building,104,105,106,107, Palmdale, CA 93550-3346 | 2008-12-03 |
| 1881839033 | Independence Community Treatment Clinic | Clinic/Center | 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 | 2008-12-02 |
| 1205081593 | Independence Community Treatment Clinic | Clinic/Center | 39055 25th St W, Room426,427,428,429,430, Palmdale, CA 93551-4164 | 2008-12-01 |
| 1396990685 | Independence Community Treatment Clinic | Clinic/Center | 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 | 2008-12-01 |
| 1508039728 | Independence Community Treatment Clinic | Clinic/Center | 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 | 2008-04-09 |
| 1699948810 | Independence Community Treatment Clinic | Clinic/Center | 44701 32nd St W, Lancaster High School, Lancaster, CA 93536-7023 | 2008-04-09 |
| Street Address |
2127 E AVENUE R ROOM 804,805,807,809, |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881839926 | Independence Community Treatment Clinic | Clinic/Center | 2270 E Avenue Q, Room 101,102,103,104,105,106, and Cafeteria, Palmdale, CA 93550-4141 | 2008-12-03 |
| 1710122866 | Independence Community Treatment Clinic | Clinic/Center | 38801 Clock Tower Plaza Dr E, Room Community Building,104,105,106,107, Palmdale, CA 93550-3346 | 2008-12-03 |
| 1205081593 | Independence Community Treatment Clinic | Clinic/Center | 39055 25th St W, Room426,427,428,429,430, Palmdale, CA 93551-4164 | 2008-12-01 |
| 1609049824 | Independence Communnity Treatment Clinic | Clinic/Center | 37423 70th St E, Knight High School, Palmdale, CA 93552-4800 | 2008-04-09 |
| 1255891875 | Jwch Institute, Inc. | Clinic/Center | 37926 47th St E, Palmdale, CA 93552-3272 | 2019-03-20 |
| 1780144303 | Jwch Institute, Inc. | Clinic/Center | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2019-03-20 |
| 1063635282 | Independence Community Treatment Clinic | Clinic/Center | 190 Sierra Ct, Suite C-8, Palmdale, CA 93550-7607 | 2007-04-10 |
| 1750414009 | Elizabeth Sugapong Estrada-federizo | Clinic/Center | 38350 40th St E, Suite 100, Palmdale, CA 93552-3075 | 2007-03-14 |
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| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
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| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
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| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
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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.