Active NPI
Comprehensive Community Health Center
- Internal Medicine Physician
- Escondido, CA
National Provider Identifier
1316609803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- COMPREHENSIVE COMMUNITY HEALTH FOUNDATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
- Community Birth Group
- Community Montessori
- Community Research Foundation Inc (Esperanza Crisis Center)
- Community Research Foundation Inc (Step Forward North Inland)
- Comprehensive Care Nursing, Inc.
- Dana Maria Conard
- Cones Audiology, Inc.
- Heather Marie Cones, AU.D.
- Alexa Conforti, ASW
- Jaclyn Congdon, M.A.
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.