Organization Active NPI

Comprehensive Community Health Center

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1316609803
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE COMMUNITY HEALTH CENTER
Practice address
250 S. Orange St.
Ste. 2
Escondido, CA 92025-4142
Phone
(619) 483-6985
Fax
(760) 294-4362
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE COMMUNITY HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Mr. Arsenio Inocencio Jimenez Jr., M.D.
Title
Chief Executive Officer
Phone
(619) 483-6985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

250 S. Orange St.
Ste. 2
Escondido, CA 92025-4142

Mailing address

250 S. Orange St.
Ste. 2
Escondido, CA 92025-4142
Phone (619) 483-6985

National Provider Directory

National Provider Directory
Part of
Comprehensive Community Health Center

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1316609803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S. ORANGE ST.",
            "address_2": "STE. 2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254142",
            "telephone_number": "619-483-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S. ORANGE ST.",
            "address_2": "STE. 2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254142",
            "telephone_number": "619-483-6985",
            "fax_number": "760-294-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE COMMUNITY HEALTH FOUNDATION",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ARSENIO",
        "authorized_official_middle_name": "INOCENCIO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-483-6985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 12, 2021; 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.