NPIMap

Organization Active NPI

Central Neighborhood Health Foundation - Fontana

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1083148753
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - FONTANA
Practice address
714 W. Olympic Blvd Suite # 801
Los Angeles, CA 90015
Phone
(626) 488-3111
Fax
(323) 206-5402
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nusrath Fatima Jahangir
Title
VP
Phone
(323) 234-5000

Specialties & licenses 1

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

Addresses

Primary practice location

714 W. Olympic Blvd Suite # 801
Los Angeles, CA 90015

Mailing address

7965 Sierra Ave Suite # E
Fontana, CA 92336
Phone (909) 356-4459

National Provider Directory

National Provider Directory
Tax ID family
Central Neighborhood Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083148753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE SUITE # E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-356-4459",
            "fax_number": "909-350-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W. OLYMPIC BLVD SUITE # 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "626-488-3111",
            "fax_number": "323-206-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - FONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAHANGIR",
        "authorized_official_first_name": "NUSRATH",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "323-234-5000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.