WILMINGTON COMMUNITY CLINIC (NPI# 1932194586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932194586 |
| Entity Type | Organization |
| Organization Name | WILMINGTON COMMUNITY CLINIC |
| Practice Address |
1009 N Avalon Blvd Wilmington CA 90744-4505 |
| Practice Telephone | 3105495760 |
| Practice Fax Number | 3105492277 |
| Mailing Telephone | 3105495760 |
| Mailing Fax Number | 3105491453 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | MRS. DOLORES CLAY BONILLA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3105495760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1932194586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891046587 | Wilmington Community Clinic | Clinic/Center | 10901 S Vermont Ave, Los Angeles, CA 90044-3015 | 2012-09-21 |
| 1093814907 | Wilmington Community Clinic | Clinic/Center | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2006-09-21 |
| Street Address |
1009 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816052 | Meher Naeem Ellahi | Physician Assistant | 1009 N Avalon Blvd, Wilmington, CA 90744 | 2018-10-09 |
| 1396257945 | Rufinita Ramoran | Dietitian, Registered | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2017-11-03 |
| 1316320690 | Crystal Maciel | Physician Assistant | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2015-07-03 |
| 1710325816 | Alison Marian Marcus | Physician Assistant | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2013-06-11 |
| 1588910277 | Shields for Families | Community/Behavioral Health | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2012-07-31 |
| 1821269135 | Angela Renee Lee | Physician Assistant | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2008-03-13 |
| 1356530265 | Abigail D. Ortega | Counselor | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2007-10-16 |
| 1548329337 | Perpetua Risos Magpuri | Dietitian, Registered | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2006-12-07 |
| 1104984715 | Mila Zatulovsky | Pediatrics | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2006-12-05 |
| 1689732646 | Judith E. Kraft | Family Medicine | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907929 | Hanover Pediatrics | Clinic/Center | 5032 Crown Point Ln, Wilmington, NC 28409-3298 | 2017-04-25 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1710334503 | Odibo Medical Group Pllc | Clinic/Center | 508 John S Mosby Dr, Wilmington, NC 28412-7121 | 2016-05-21 |
| 1366852519 | Bw Family Medical Center | Clinic/Center | 404 Clayton Ave, Wilmington, DE 19809-1413 | 2014-04-28 |
| 1568808376 | Healthworks Med Group of Delaware P A | Clinic/Center | 802 Delaware Ave, Wilmington, DE 19801-1377 | 2013-05-20 |
| 1306109251 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 131 W Anaheim St, Wilmington, CA 90744-4416 | 2012-06-15 |
| 1750541322 | Sea Breeze Health Center Inc | Clinic/Center | 123 E F St Unit F, Wilmington, CA 90744-5817 | 2008-06-16 |
| 1457437832 | Singson Medical Group Pa | Clinic/Center | 1021 Gilpin Avenue, Suite 104, Wilmington, DE 19806 | 2006-10-28 |
| 1285191494 | Precision Care & Wellness, LLC | Clinic/Center | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2019-02-24 |
| 1861925042 | Southbridge Medical Advisory Council, Inc. | Clinic/Center | 1100 S Broom St, Wilmington, DE 19805-4585 | 2017-04-05 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on WILMINGTON COMMUNITY CLINIC.
| 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.