Active NPI
Mission Center Healthcare a Medical Corporation
- Primary Care Clinic/Center
- Soledad, CA
National Provider Identifier
1609980887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MISSION CENTER HEALTHCARE A MEDICAL CORPORATION
- Practice address
- 2524 H Dela Rosa Sr St
Soledad, CA 93960-3383 - Phone
- (831) 678-8899
- Fax
- (831) 678-4545
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Reyes, M.D.
- Title
- Physician
- Phone
- (831) 757-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2524 H Dela Rosa Sr St
Soledad, CA 93960-3383
Mailing address
4 Rossi Circle
Suite 101
Salinas, CA 93907-2358
Phone (831) 678-8899
Other names 1
- Mission Center Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601510400000",
"number": "1609980887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ROSSI CIRCLE",
"address_2": "SUITE 101",
"city": "SALINAS",
"state": "CA",
"postal_code": "939072358",
"telephone_number": "831-678-8899",
"fax_number": "831-678-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 H DELA ROSA SR ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603383",
"telephone_number": "831-678-8899",
"fax_number": "831-678-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION CENTER HEALTHCARE A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "831-757-4444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Center Healthcare",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Mission Center Healthcare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.