GROSSMONT PEDIATRICS OPERATED BY NEIGHBORHOOD HEALTHCARE (NPI# 1699302877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699302877 |
Entity Type | Organization |
Organization Name | GROSSMONT PEDIATRICS OPERATED BY NEIGHBORHOOD HEALTHCARE |
Practice Address |
6924 University Avenue La Mesa CA 91942-5922 |
Mailing Address |
425 N Date St Escondido CA 92025-3413 |
Practice Telephone | 7605208300 |
Mailing Telephone | 7607376925 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-26 |
Authorized Official Name | RAKESH PATEL (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7605208300 |
Authorized Official Credential | MD |
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 |
Street Address |
6924 UNIVERSITY AVENUE |
City | LA MESA |
State | CA |
Zip Code | 91942-5922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
Find all providers in zip 91942 |
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 |
---|---|---|---|---|
1396718631 | La Clinica De Familia, Inc. | Clinic/Center | 18420 S Highway 28, La Mesa, NM 88044-9605 | 2006-02-08 |
1033759311 | Borrego Community Health Foundation | Clinic/Center | 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942-3135 | 2020-01-14 |
1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
1568747137 | Borrego Community Health Foundation | Clinic/Center | 8851 Center Dr Ste 210, La Mesa, CA 91942-3045 | 2011-10-14 |
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1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
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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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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.