El Dorado Community Service Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EL DORADO COMMUNITY SERVICE CENTER

Doing business as

Hawaiian Gardens Medical and Mental Health Services

Practice address

21619 Norwalk Blvd
Hawaiian Gardens, CA 90716-1123

Phone

(661) 254-6630

NPI assigned

May 14, 2014

Last updated

Jan 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seanjay Ramanand Sharma

Title

President

Phone

(310) 678-7917

Specialties & licenses 1

Addresses

Other names 1

• Hawaiian Gardens Medical and Mental Health Services Doing business as

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1427469386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21619 NORWALK BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161123",
            "telephone_number": "661-254-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO COMMUNITY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SEANJAY",
        "authorized_official_middle_name": "RAMANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-678-7917"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaiian Gardens Medical and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Sheila Ponce Demaree, APRN, FNP
• Alison Downing
• Dr. Herman Bell, D.O., a Medical Corporation
• Dragos Diaconescu MD a Medical Corporation
• Jocelyne Duarte
• El Dorado Community Service Center (American Health Services Hawaiian Gardens)
• Joseph S Englanoff, M.D.
• Euclid Foot Clinic Podiatry Group, Inc.
• Samantha Ann Evans, LVN
• Elena G Ezpeleta, MD

• Primary Care Clinic/Center in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.