EAST VALLEY COMMUNITY HEALTH CENTER, INC.


Address: 17800 Renault St, La Puente, CA 91744-5333
Phone: 6269194333

EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1861983470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861983470
Entity Type Organization
Organization Name EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Practice Address 17800 Renault St
La Puente
CA 91744-5333
Mailing Address 420 S Glendora Ave
West Covina
CA 91790-3001
Practice Telephone 6269194333
Practice Fax Number 6269192084
Mailing Telephone 6269194333
Mailing Fax Number 6269192084
Enumeration Date 2018-05-21
Last Update Date 2018-05-21
Authorized Official Name ALICIA MARDINI (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6269194333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
960000210 CA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679193320 East Valley Community Health Center, Inc. Clinic/Center 1400 E Mission Blvd, Pomona, CA 91766-2229 2020-04-23
1285046847 East Valley Community Health Center, Inc. Clinic/Center 276 West College Street, Covina, CA 91723-1902 2014-05-29
1386912202 East Valley Community Health Center, Inc. Clinic/Center 17840 Villa Corta St, La Puente, CA 91744-5342 2011-12-06
1518587435 East Valley Community Health Center, Inc. Clinic/Center 4368 Santa Anita Ave, El Monte, CA 91731-1606 2020-04-21
1598007197 East Valley Community Health Center, Inc. Clinic/Center 14101 Nelson Ave, La Puente, CA 91746-2640 2013-03-21
1972844272 East Valley Community Health Center, Inc. Clinic/Center 831 E Arrow Hwy, Pomona, CA 91767-2535 2013-03-12
1952427411 East Valley Community Health Center, Inc. Clinic/Center 420 S Glendora Ave, West Covina, CA 91790-3001 2007-03-22
1700902251 East Valley Community Health Center, Inc. Clinic/Center 1555 S Garey Ave, Pomona, CA 91766-5222 2007-03-22
1619093168 East Valley Community Health Center, Inc. Clinic/Center 1555 S Garey Ave, Pomona, CA 91766-5222 2007-03-22
1023134582 East Valley Community Health Center, Inc. Clinic/Center 420 S Glendora Ave, West Covina, CA 91790-3001 2007-03-22

Office Location

Street Address 17800 RENAULT ST
City LA PUENTE
State CA
Zip Code 91744-5333

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386912202 East Valley Community Health Center, Inc. Clinic/Center 17840 Villa Corta St, La Puente, CA 91744-5342 2011-12-06
1598007197 East Valley Community Health Center, Inc. Clinic/Center 14101 Nelson Ave, La Puente, CA 91746-2640 2013-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1821697483 North East Medical Services Clinic/Center 2633 San Bruno Ave, San Francisco, CA 94134-1597 2020-10-23
1508465303 Valley Health Team, Inc Clinic/Center 459 W Line St Ste C, Bishop, CA 93514-3333 2020-10-22
1699373209 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 2020-10-15
1508464116 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 2020-10-15
1134727746 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 2020-10-15
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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Competitor

Search similar providers

City LA PUENTE
Zip Code 91744

Improve Information

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Dataset Information

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.

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