Central Neighborhood Health Foundation - Fontana
Clinic/Center (Federally Qualified Health Center (FQHC))

Address: 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015
Phone: 6264883111

Central Neighborhood Health Foundation - Fontana (NPI# 1083148753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083148753
Entity Type Organization
Organization Name CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - FONTANA
Practice Address 714 W. Olympic Blvd Suite # 801
Los Angeles
CA 90015
Practice Telephone 6264883111
Practice Fax Number 3232065402
Mailing Address 7965 Sierra Ave Suite # E
Fontana
CA 92336
Mailing Telephone 9093564459
Mailing Fax Number 9093508725
Authorized Official Name Nusrath Fatima Jahangir (VP)
Authorized Official Telephone 3232345000
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-04-19
Last Update Date 2018-06-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QF0400X Clinic/Center · Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities ========= CA

Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Office Location

Street Address 714 W. OLYMPIC BLVD SUITE # 801
City LOS ANGELES
State CA
Zip Code 90015

Providers in the same zip code

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
1225650955 Luis Alvarado Student in an Organized Health Care Education/Training Program 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 2020-05-15
1386290385 Amy M Powell Student in an Organized Health Care Education/Training Program 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 2019-08-15
1881170199 Angie Andreina Trias Sanchez Student in an Organized Health Care Education/Training Program 936 S Olive St Apt 154, Los Angeles, CA 90015 2018-07-19
1255871711 Ethan Lin Student in an Organized Health Care Education/Training Program 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 2017-03-03
1972055093 Yvonne Perez Social Worker 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 2016-10-25
1356896492 Mayano Ochi Midwife 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 2016-08-18
1518321686 Cielo Reyna-donaldson Registered Nurse 1520 South Olive Street, Los Angeles, CA 90015 2016-04-05
1891175774 Amanecer Community Counseling Service Community/Behavioral Health 1500 S Olive St Rm 506, Los Angeles, CA 90015 2015-06-04
1760886584 Husni Zayed Physician Assistant 1414 S. Grand Ave., Suite 123, Los Angeles, CA 90015 2014-10-22
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90015

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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.