Organization Active NPI

Eminence Centers for Health

  • Community Health Clinic/Center
  • Barstow, CA
National Provider Identifier
1285362863
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
EMINENCE CENTERS FOR HEALTH
Practice address
121 S 7TH Ave
Barstow, CA 92311-3058
Phone
(760) 581-5600
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Haissam Masri
Title
Ceo
Phone
(714) 299-3903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

121 S 7TH Ave
Barstow, CA 92311-3058

Mailing address

PO Box 231833
Las Vegas, NV 89105-1833
Phone (760) 581-5600

National Provider Directory

National Provider Directory

Locations

303 E Buena Vista St
Barstow, CA 92311
Phone (760) 255-2399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1285362863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231833",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891051833",
            "telephone_number": "760-581-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 7TH AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113058",
            "telephone_number": "760-581-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE CENTERS FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "HAISSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-299-3903"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.