EAST VALLEY COMMUNITY HEALTH CENTER, INC. (NPI# 1972844272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972844272 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | EVCHC - PROTOTYPES |
| Practice Address |
831 E Arrow Hwy Pomona CA 91767-2535 |
| 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 | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | ALICIA MARDINI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6269194333 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| EVCHC - Prototypes | Other Name - Individual/Organization |
| 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 |
| 1861983470 | East Valley Community Health Center, Inc. | Clinic/Center | 17800 Renault St, La Puente, CA 91744-5333 | 2018-05-21 |
| 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 |
| 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 |
| Street Address |
831 E ARROW HWY |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228396 | Heather Miller Kurera | Psychiatry & Neurology | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2005-07-12 |
| 1730789835 | Lareen Gutierrez | Case Manager/Care Coordinator | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-10-28 |
| 1992312060 | Steven Shingo Berry | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-23 |
| 1457967663 | Brenda Janette Avalos | Specialist | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-22 |
| 1528674322 | Brittany N Rodriguez | Licensed Vocational Nurse | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-17 |
| 1235743873 | Vanessa Serrato | Social Worker | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-01 |
| 1174144000 | Melissa Kiersten Bergstrom | Community/Behavioral Health | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-05-01 |
| 1811518046 | Iris Alexcia Vanegas | Community/Behavioral Health | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-28 |
| 1619506029 | Evanne Bree Jackson | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-07 |
| 1982233540 | Dulce Maria Gonzalez | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| 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 |
|---|---|---|---|---|
| 1679193320 | East Valley Community Health Center, Inc. | Clinic/Center | 1400 E Mission Blvd, Pomona, CA 91766-2229 | 2020-04-23 |
| 1093085565 | State of California - Department of Developmental Services | Clinic/Center | 3530 W Pomona Blvd, Pomona, CA 91768-3238 | 2011-12-30 |
| 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 |
| 1649324443 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-01-22 |
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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.