Neighborhood Healthcare

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NEIGHBORHOOD HEALTHCARE

Doing business as

Neighborhood Healthcare - Mead Valley

Practice address

21705 Martin St
Perris, CA 92570-7316

Phone

(833) 867-4642

NPI assigned

Apr 29, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rakesh R Patel, MD, CEO

Title

Ceo

Phone

(760) 520-8300

Specialties & licenses 2

Addresses

Other names 1

• Neighborhood Healthcare - Mead Valley Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235985219. Details of each certification follow.

• CCN A01982 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN A01982

Legal name

NEIGHBORHOOD HEALTHCARE

Doing business as

NEIGHBORHOOD HEALTHCARE- MEAD VALLEY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 16, 2025

Last certification

May 16, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

21705 Martin St
Perris, CA 92570-7316

Tax ID family

Neighborhood Healthcare- Pace Riverside40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

• Chicago Clinica Medica Familiar Operated by Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1760098503
  NPD tax ID
• Grossmont Pediatrics Operated by Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • La Mesa, CA
  • NPI 1699302877
  NPD tax ID
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Poway, CA
  • NPI 1023518768
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare-Temecula Pkwy

  • Federally Qualified Health Center (FQHC)
  • Temecula, CA
  • NPI 1083225205
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Devonshire Avenue

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
  • NPI 1154786846
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare Behavioral Health 308

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1215896923
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare PACE - Murrieta

  • PACE Provider Organization
  • Murrieta, CA
  • NPI 1225884505
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Pediatrics & Prenatal

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1265618185
  NPD tax ID
• Neighborhood Healthcare

  • General Practice Physician
  • Escondido, CA
  • NPI 1295903607
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Valley Center

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
  • NPI 1407031693
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare San Marcos

  • Federally Qualified Health Center (FQHC)
  • San Marcos, CA
  • NPI 1407578255
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare- Fallbrook

  • Federally Qualified Health Center (FQHC)
  • Fallbrook, CA
  • NPI 1417604497
  NPD tax ID

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alan John Conrad, MD

  • Hospitalist Physician
  • Poway, CA
  • NPI 1972604627

  Other

  CMS ownership
• Rakesh Patel, M.D

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1205861010

  Other, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luong Nguyen, D.O

  • Family Medicine Physician
  • Pauma Valley, CA
  • NPI 1144254228
  NPD (past)

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1235985219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21705 MARTIN ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925707316",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-520-8300",
        "authorized_official_credential": "MD, CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Healthcare - Mead Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Healthcare - Mead Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Armando Navarro Jr., MD
• Oswaldo Rene Navarro
• Raul Navarro
• Samson Ndungu
• Josh B Neal
• Christianne Nelson, RN, BSN, MPH
• New Beginnings Residential TF
• New Beginnings Residential TF
• New Beginnings Residential TF
• New Direction

• Federally Qualified Health Center (FQHC) in Perris, CA
• Providers in Perris, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.