BORREGO COMMUNITY HEATH FOUNDATION (NPI# 1962830174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962830174 |
| Entity Type | Organization |
| Organization Name | BORREGO COMMUNITY HEATH FOUNDATION |
| Other Organization Name | JAY HOFFMAN HEALTH CENTER |
| Practice Address |
29490 Lakeview Ave Nuevo CA 92567-9705 |
| Mailing Address |
Po Box 2369 Borrego Springs CA 92004-2369 |
| Practice Telephone | 9519282805 |
| Practice Fax Number | 9519282842 |
| Mailing Telephone | 7607675051 |
| Mailing Fax Number | 7607674552 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-11-18 |
| Authorized Official Name | MR. MICHAEL DOUGLAS DEW (DIRECTOR OR MANAGED CARE OPERATIONS) |
| Authorized Official Telephone | 6193442815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jay Hoffman Health Center | Doing Business As Name - Organization |
| Street Address |
29490 LAKEVIEW AVE |
| City | NUEVO |
| State | CA |
| Zip Code | 92567-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508953928 | James Brent Martin | Marriage & Family Therapist | 28331 Lakeview Ave, B, Nuevo, CA 92567 | 2006-10-06 |
| 1780958843 | West Coast Dental Group | Dental Assistant | 31419 Sunset Ave, Nuevo, CA 92567-8956 | 2012-03-06 |
| 1174071708 | Connie Diaz | Registered Nurse | 22365 Rosary Ave, Nuevo, CA 92567-9055 | 2016-09-12 |
| 1780193458 | Hq Transportation LLC | Non-emergency Medical Transport (VAN) | 22365 Rosary Ave, Nuevo, CA 92567-9055 | 2017-09-26 |
| 1457962599 | Brianna Brown | Behavioral Analyst | 22947 Lava Way, Nuevo, CA 92567-9171 | 2020-08-12 |
| 1811415383 | Nuevo Smile Dental Care | Clinic/Center | 29616 Nuevo Rd Ste A4, Nuevo, CA 92567-9201 | 2017-09-05 |
| 1992117428 | Nuevo Smile Dental Management Corporation | Dental Assistant | 29616 Nuevo Rd, Suite A4, Nuevo, CA 92567-9201 | 2014-06-02 |
| 1871613331 | Laurentina Marie Rodrigues | Radiologic Technologist | 21945 Hess Ln, Nuevo, CA 92567-9329 | 2007-03-29 |
| 1730790635 | Berenice Mejia-perez | Behavior Technician | 28191 Reservoir Ave, Nuevo, CA 92567-9570 | 2020-08-13 |
| 1356448583 | Van Horn Youth Center | Community Based Residential Treatment Facility, Mental Illness | 22964 Pablo, Nuevo, CA 92567-9635 | 2006-09-20 |
| Find all providers in zip 92567 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.