CHICAGO CLINICA MEDICA FAMILIAR OPERATED BY NEIGHBORHOOD HEALTHCARE (NPI# 1760098503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760098503 |
| Entity Type | Organization |
| Organization Name | CHICAGO CLINICA MEDICA FAMILIAR OPERATED BY NEIGHBORHOOD HEALTHCARE |
| Practice Address |
4022 Chicago Ave Ste A Riverside CA 92507-5340 |
| Mailing Address |
425 N Date St Escondido CA 92025-3413 |
| Practice Telephone | 7605208300 |
| Mailing Telephone | 7605208300 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | RAKESH PATEL (CEO) |
| 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 |
| Other Name | Type Code |
|---|---|
| Chicago Clinica Medica Familiar operated by Neighborhood Healthcare | Doing Business As Name - Organization |
| Street Address |
4022 CHICAGO AVE STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1538407325 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Place, Riverside, CA 92507-2606 | 2013-01-29 |
| 1306131545 | Borrego Community Health Foundation | Clinic/Center | 8856 Arlington Avenue, Riverside, CA 92503-1365 | 2011-06-16 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1447872577 | H Street Clinic Inc | Clinic/Center | 3750 Arlington Ave, Riverside, CA 92506-2607 | 2020-05-12 |
| 1275173676 | Borrego Community Health Foundation | Clinic/Center | 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 | 2020-01-14 |
| 1043777089 | Unicare Community Health Center Inc | Clinic/Center | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2019-02-26 |
| 1285029462 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2015-04-03 |
| 1174950588 | Urban Community Action Projects | Clinic/Center | 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 | 2013-09-30 |
| 1336492974 | Devadas Moses | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2012-10-19 |
| 1790075315 | Borrego Community Health Foundation | Clinic/Center | 1970 University Ave, Riverside, CA 92507-5202 | 2011-04-15 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on CHICAGO CLINICA MEDICA FAMILIAR OPERATED BY NEIGHBORHOOD HEALTHCARE.
| 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.