Neighborhood Healthcare

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NEIGHBORHOOD HEALTHCARE

Doing business as

Neighborhood Healthcare - Grand Ave

Practice address

1001 E Grand Ave
Escondido, CA 92025-4604

Phone

(760) 520-8200

Fax

(760) 737-5490

NPI assigned

Mar 27, 2008

Last updated

Apr 16, 2020By 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

Rakesh Patel, MD,MBA,FAAFP,CPENPI 1205861010

Title

Ceo

Phone

(760) 520-8300

Specialties & licenses 1

Addresses

Other names 1

• Neighborhood Healthcare - Grand Ave Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487826772. Details of each certification follow.

• CCN 551867 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 551867

Legal name

NEIGHBORHOOD HEALTHCARE

Doing business as

NEIGHBORHOOD HEALTHCARE - GRAND AVE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 16, 1999

Last certification

Nov 16, 1999

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Oct 25, 1972 in CA

Enrollment address

1001 East Grand Avenue
Escondido, CA 92025-4604

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neighborhood Healthcare

  dba Neighborhood Healthcare - Escondido

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647

  O20080505000605

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Neighborhood Healthcare40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

• Chicago Clinica Medica Familiar Operated by Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1760098503
  NPD tax ID
• Grossmont Pediatrics Operated by Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • La Mesa, CA
  • NPI 1699302877
  NPD tax ID
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Poway, CA
  • NPI 1023518768
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare-Temecula Pkwy

  • Federally Qualified Health Center (FQHC)
  • Temecula, CA
  • NPI 1083225205
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Devonshire Avenue

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
  • NPI 1154786846
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare Behavioral Health 308

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1215896923
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare PACE - Murrieta

  • PACE Provider Organization
  • Murrieta, CA
  • NPI 1225884505
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Mead Valley

  • Federally Qualified Health Center (FQHC)
  • Perris, CA
  • NPI 1235985219
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Pediatrics & Prenatal

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1265618185
  NPD tax ID
• Neighborhood Healthcare

  • General Practice Physician
  • Escondido, CA
  • NPI 1295903607
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Valley Center

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
  • NPI 1407031693
  NPD tax ID
• Neighborhood Healthcare

  dba Neighborhood Healthcare San Marcos

  • Federally Qualified Health Center (FQHC)
  • San Marcos, CA
  • NPI 1407578255
  NPD tax ID

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alan John Conrad, MD

  • Hospitalist Physician
  • Poway, CA
  • NPI 1972604627

  Corporate Director

  CMS ownership
• Rakesh Patel, M.D

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1205861010

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakesh Patel, M.D

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1205861010
  Authorized official Same address or phone
• Daniel A. Miller, MD

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1568510360
  NPD (past)
• Luong Nguyen, D.O

  • Family Medicine Physician
  • Pauma Valley, CA
  • NPI 1144254228
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1487826772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-520-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254604",
            "telephone_number": "760-520-8200",
            "fax_number": "760-737-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-520-8300",
        "authorized_official_credential": "MD,MBA,FAAFP,CPE"
    },
    "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": "Neighborhood Healthcare - Grand Ave",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Healthcare - Grand Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlana Magsino Negado
• Neighborhood Healthcare (Neighborhood Healthcare Behavioral Health 308)
• Neighborhood Healthcare (Neighborhood Healthcare - Pediatrics & Prenatal)
• Neighborhood Healthcare
• Neighborhood Healthcare (Neighborhood Healthcare - Ray M Dickinson Wellness Center)
• Neighborhood Healthcare (Neighborhood Healthcare Behavioral Health 311)
• Neighborhood Healthcare (Neighborhood Healthcare Escondido Ohio Ave)
• Neighborhood Healthcare (Neighborhood Healthcare - Escondido)
• Neighborhood Healthcare (Neighborhood Healthcare Downtown Escondido Suite 400)
• Neighborhood Healthcare

• Federally Qualified Health Center (FQHC) in Escondido, CA
• Providers in Escondido, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.