NPIMap

Organization Active NPI

H Street Clinic

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
National Provider Identifier
1306540463
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
H STREET CLINIC
Practice address
1329 N H St
San Bernardino, CA 92405-5039
Phone
(909) 381-0803
NPI assigned
Mar 30, 2023
Organization subpart
Yes
Parent organization
550000837As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Eleanor Perez
Title
Coo
Phone
(626) 488-3111

Specialties & licenses 1

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

Addresses

Primary practice location

1329 N H St
San Bernardino, CA 92405-5039

Mailing address

2700 S Grand Ave
Los Angeles, CA 90007-3301
Phone (213) 536-5815

Other names 1

  • Central Neighborhood Health Foundation - Mobile Care Clinic #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
H Street Clinic14 organizations share this tax ID, including this one
Part of
H Street Clinic

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1306540463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073301",
            "telephone_number": "213-536-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N H ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924055039",
            "telephone_number": "909-381-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H STREET CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "550000837",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "626-488-3111"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Neighborhood Health Foundation - Mobile Care Clinic #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Neighborhood Health Foundation - Mobile Care Clinic #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.