Organization Active NPI

Mission Center Healthcare a Medical Corporation

  • Primary Care Clinic/Center
  • Soledad, CA
National Provider Identifier
1609980887
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Oct 1, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.