NPIMap

Organization Active NPI

Mountain Health & Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
National Provider Identifier
1063613263
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550000560 Issued in CA
Legal business name
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Practice address
255 N Ash St Ste 101
Escondido, CA 92027-3069
Phone
(760) 745-5832
Fax
(760) 745-7847
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith Shaplin
Title
Ceo
Phone
(619) 445-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550000560 CA Primary

Addresses

Primary practice location

255 N Ash St Ste 101
Escondido, CA 92027-3069

Mailing address

31115 Highway 94
Campo, CA 91906-3133
Phone (619) 478-5254

Other identifiers 3

IdentifierTypeStateIssuer
FHC71188FMedicaidCA
BCP71188FOtherCASTATE PROGRAM
HAP71188FOtherCASTATE PROGRAM

Other names 1

  • Escondido Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

255 N Ash St
Ste 101
Escondido, CA 92027
Phone (760) 745-5832

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFIJCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1063613263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31115 HIGHWAY 94",
            "city": "CAMPO",
            "state": "CA",
            "postal_code": "919063133",
            "telephone_number": "619-478-5254",
            "fax_number": "619-478-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ASH ST STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273069",
            "telephone_number": "760-745-5832",
            "fax_number": "760-745-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAPLIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-445-6200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71188F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROGRAM",
            "identifier": "BCP71188F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROGRAM",
            "identifier": "HAP71188F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escondido Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.