URDC HUMAN SERVICES CORPORATION (NPI# 1780952879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780952879 |
| Entity Type | Organization |
| Organization Name | URDC HUMAN SERVICES CORPORATION |
| Other Organization Name | BILL MOORE COMMUNITY HEALTH CLINIC |
| Practice Address |
513 E Lime Ave Suite 101 Monrovia CA 91016-2982 |
| Mailing Address |
1460 N Lake Ave Suite 107 Pasadena CA 91104-2300 |
| Practice Telephone | 6262490850 |
| Practice Fax Number | 6262490854 |
| Mailing Telephone | 6263983796 |
| Mailing Fax Number | 6262490854 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MS. SANDRA L ARRIVILLAGA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6263983796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960000932 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM70645F | 05 |
| Other Name | Type Code |
|---|---|
| Bill Moore Community Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891963393 | Urdc Human Services Corporation | Clinic/Center | 1460 N Lake Ave, Suite 107, Pasadena, CA 91104-2300 | 2008-02-19 |
| 1114963642 | Urdc Human Services Corporation | Clinic/Center | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2006-06-22 |
| Street Address |
513 E LIME AVE SUITE 101 |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568595445 | Dianna Y Martinez | Rehabilitation Practitioner | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2007-03-13 |
| 1063805463 | Community Health Alliance of Pasadena | Clinic/Center | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2015-03-09 |
| 1316339880 | Sunjen Medical Inc. | Clinic/Center | 513 E Lime Ave, #201, Monrovia, CA 91016 | 2015-02-20 |
| 1164855540 | Juan Pabon | Case Manager/Care Coordinator | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2013-08-20 |
| 1891048955 | James Lawrence Welch | Case Manager/Care Coordinator | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2012-10-25 |
| 1063795250 | Mission City Community Network, Inc. | Clinic/Center | 513 E Lime Ave, Suite 103, Monrovia, CA 91016-2982 | 2011-09-23 |
| 1629375431 | Louis Chao-i Ho | Family Medicine | 513 E Lime Ave, #201, Monrovia, CA 91016 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1891301578 | Vida Community Clinic | Clinic/Center | 1519 Woodworth St, San Fernando, CA 91340-4153 | 2020-09-18 |
| 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 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 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 | ||||
Please comment or provide details below to improve the information on URDC HUMAN SERVICES CORPORATION.
| 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.