Active NPI
Mountain Health & Community Services, Inc
- Federally Qualified Health Center (FQHC)
- Escondido, CA
National Provider Identifier
1295192656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MOUNTAIN HEALTH & COMMUNITY SERVICES, INC
- Doing business as
- North Inland Family Medicine
- Practice address
- 125 W Mission Ave Ste 105
Escondido, CA 92025-1721 - Phone
- (619) 478-5254
- Fax
- (760) 294-4671
- NPI assigned
- Jan 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Shaplin
- Title
- Ceo/President
- Phone
- (619) 445-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CA | Primary |
Addresses
Primary practice location
125 W Mission Ave Ste 105
Escondido, CA 92025-1721
Mailing address
31115 Highway 94
Campo, CA 91906-3133
Phone (619) 445-6200
Other names 1
- North Inland Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 751889
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NORTH INLAND FAMILY MEDICINE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 23, 2016
- Last certification
- Aug 23, 2016
- Ownership / control type
- Non-profit – church related
- Facility address
- 125 West Mission Avenue, Suite 105
Escondido, CA 92025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494201600000",
"number": "1295192656",
"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": "619-445-6200",
"fax_number": "619-320-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W MISSION AVE STE 105",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920251721",
"telephone_number": "619-478-5254",
"fax_number": "760-294-4671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN HEALTH & COMMUNITY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-15",
"last_updated": "2017-05-08",
"status": "A",
"authorized_official_last_name": "SHAPLIN",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "619-445-6200"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Inland 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 May 8, 2017; 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.