NPIMap

Organization Active NPI

Central Neighborhood Health Foundation

  • Federally Qualified Health Center (FQHC)
  • Fontana, CA
National Provider Identifier
1619330438
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Practice address
17695 Arrow Blvd
Fontana, CA 92335
Phone
(310) 962-8970
Fax
(323) 231-3985
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Nusrath Fatima Jahangir, VN
Title
Coo
Phone
(310) 962-8970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

17695 Arrow Blvd
Fontana, CA 92335

Mailing address

17695 Arrow Blvd
Fontana, CA 92335-4041
Phone (323) 234-5000

National Provider Directory

National Provider Directory
Tax ID family
Central Neighborhood Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

17695 Arrow Blvd
Fontana, CA 92335
Phone (909) 854-3790

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1619330438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "323-234-5000",
            "fax_number": "323-231-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "310-962-8970",
            "fax_number": "323-231-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "JAHANGIR",
        "authorized_official_first_name": "NUSRATH",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-962-8970",
        "authorized_official_credential": "VN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.