LA CLINICA TEPEYAC, INC (NPI# 1841781879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841781879 |
| Entity Type | Organization |
| Organization Name | LA CLINICA TEPEYAC, INC |
| Practice Address |
4725 High St Denver CO 80216-2220 |
| Practice Telephone | 7202742923 |
| Practice Fax Number | 3035830152 |
| Mailing Telephone | 7202742923 |
| Mailing Fax Number | 3035830152 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | JIM GARCIA (CEO) |
| Authorized Official Telephone | 7202742923 |
| Is Organization Subpart | Y |
| Parent Organization Name | LA CLINICA TEPEYAC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841526662 | La Clinica Tepeyac, Inc | Clinic/Center | 5075 Lincoln Street, Denver, CO 80216-2015 | 2009-10-29 |
| 1336516178 | La Clinica Tepeyac, Inc | Clinic/Center | 5075 Lincoln St, Denver, CO 80216-2015 | 2015-08-27 |
| Street Address |
4725 HIGH ST |
| City | DENVER |
| State | CO |
| Zip Code | 80216-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306227715 | Marco Antonio Antillon | Counselor | 4725 High St, Denver, CO 80216-2220 | 2015-06-11 |
| 1962058875 | Dora Bonilla | Counselor | 4725 High St, Denver, CO 80216-2220 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532631 | Heather Cameron | Counselor | 4242 Delware Street, Denver, CO 80216 | 2018-06-20 |
| 1386163145 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 3537 N Brighton Blvd, Denver, CO 80216 | 2017-09-13 |
| 1912424524 | Lauren A Ashely Marsh | Social Worker | 4242 Delaware Street, Denver, CO 80216 | 2017-08-24 |
| 1518405596 | Amy Khong | Interpreter | 4770 Forest St Suite E, Denver, CO 80216 | 2017-02-09 |
| 1336573096 | Yen N Nguyen | Counselor | 4242 Delware, Denver, CO 80216 | 2013-08-29 |
| 1346672185 | Meghan Perkins | Dietitian, Registered | 4950 Washington St, Denver, CO 80216 | 2013-08-03 |
| 1083887889 | Amelia Lynn Carmosino | Physician Assistant | 6900 E 47th Avenue Dr., Suite 100, Denver, CO 80216 | 2008-04-11 |
| 1619189727 | Independent Growth Home Health | Home Health | 6750 Stapleton Dr. South, 210, Denver, CO 80216 | 2007-05-03 |
| 1851417679 | Mile High Council On Alcoholism and Drug Abuse | Case Management | 4242 Delaware St, Denver, CO 80216 | 2007-03-22 |
| 1649315961 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 420 East 58th Avenue, Suite 111, Denver, CO 80216 | 2007-02-21 |
| Find all providers in zip 80216 | ||||
| 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 |
|---|---|---|---|---|
| 1811404056 | Denver Health & Hospital Authority | Clinic/Center | 4650 Columbine St, Denver, CO 80216-2833 | 2018-01-09 |
| 1467830778 | Denver Health & Hospital Authority | Clinic/Center | 55 S Zuni St, Denver, CO 80223 | 2015-05-07 |
| 1114341963 | Denver Health & Hospital Authority | Clinic/Center | 3950 S Holly St, Denver, CO 80237-1117 | 2014-02-14 |
| 1023432861 | Denver Health Child Advocacy Clinic Dcac | Clinic/Center | 2125 Federal Blvd, Denver, CO 80211-4669 | 2014-02-14 |
| 1477819506 | Colorado Coalition for The Homeless | Clinic/Center | 5050 W Colfax Ave, Denver, CO 80204-1015 | 2012-04-03 |
| 1528337755 | Denver Health and Hospital Authority | Clinic/Center | 4800 Telluride St, Denver, CO 80249-6803 | 2011-12-16 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1366760498 | Denver Health and Hospital Authority | Clinic/Center | 1700 E 28th Ave, Denver, CO 80205-4502 | 2010-05-13 |
| 1144469578 | Colorado Coalition for The Homeless | Clinic/Center | 1001 Park Ave W, Denver, CO 80205-2605 | 2009-02-09 |
| 1477679959 | Metro Community Provider Network, Inc. | Clinic/Center | 2255 S Oneida St, Denver, CO 80224-2522 | 2007-03-22 |
| Find all providers in DENVER | ||||
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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.