Mt. Vernon Community Health Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MT. VERNON COMMUNITY HEALTH CENTER

Practice address

1655 N Mount Vernon Ave
Suite C
San Bernardino, CA 92411-1427

Phone

(909) 586-6271

Fax

(888) 777-0807

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Ruzan Gevorkyan

Title

President/Ceo

Phone

(909) 586-6271

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1144517863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N MOUNT VERNON AVE",
            "address_2": "SUITE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N MOUNT VERNON AVE",
            "address_2": "SUITE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111427",
            "telephone_number": "909-586-6271",
            "fax_number": "888-777-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. VERNON COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "GEVORKYAN",
        "authorized_official_first_name": "RUZAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-586-6271"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Moya
• Christian Siophane Moye, RADT-II
• Richard James Moyer, M.D.
• Lisa Mozee, LMFT
• MRI Diagnostics Inc
• Devin Reed Mudge, M.D.
• Mufadda J Hasan MD Inc
• Keisha Lanette Muhammad
• Kamil Majdi Muhyieddeen, M.D
• Mukesh Bhogilal Suthar MD Inc

• Community Health Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.