FOOTHILL FAMILY SERVICE (NPI# 1841767415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841767415 |
Entity Type | Organization |
Organization Name | FOOTHILL FAMILY SERVICE |
Practice Address |
535 Dora Guzman Ave La Puente CA 91744-5601 |
Mailing Address |
2500 E Foothill Blvd Ste 300 Pasadena CA 91107-7102 |
Practice Telephone | 6269933000 |
Practice Fax Number | 6269933084 |
Mailing Telephone | 6269933000 |
Mailing Fax Number | 6269933084 |
Enumeration Date | 2018-10-31 |
Last Update Date | 2020-02-24 |
Authorized Official Name | JAMES SIEGRIST (CFO) |
Authorized Official Telephone | 6269933003 |
Is Organization Subpart | Y |
Parent Organization Name | FOOTHILL FAMILY SERVICE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215404827 | Foothill Family Service | Clinic/Center | 4701 Walnut St, Baldwin Park, CA 91706-2328 | 2018-11-01 |
1811464480 | Foothill Family Service | Clinic/Center | 14321 School St, Baldwin Park, CA 91706-1650 | 2018-10-31 |
1649747213 | Foothill Family Service | Clinic/Center | 2800 E Hollingworth St, West Covina, CA 91792-3029 | 2018-10-31 |
1316073620 | Foothill Family Service | Clinic/Center | 897 Granite Dr, Pasadena, CA 91101-3501 | 2007-02-23 |
1164558482 | Foothill Family Service | Clinic/Center | 11429 Valley Blvd, El Monte, CA 91731-3229 | 2007-02-23 |
1114176070 | Foothill Family Service | Clinic/Center | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2008-09-16 |
1285812776 | Foothill Family Service | Clinic/Center | 2500 E Foothill Blvd, Suite 300, Pasadena, CA 91107-3464 | 2008-02-06 |
1386824100 | Foothill Family Service | Clinic/Center | 2500 E Foothill Blvd, Pasadena, CA 91107-3464 | 2007-11-08 |
1669508974 | Foothill Family Service | Clinic/Center | 530 W Badillo St, Covina, CA 91722-3787 | 2007-02-23 |
Street Address |
535 DORA GUZMAN AVE |
City | LA PUENTE |
State | CA |
Zip Code | 91744-5601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
Find all providers in zip 91744 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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.