NPIMap

Organization Active NPI

Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
National Provider Identifier
1649915604
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTHCARE
Practice address
488 E Valley Pkwy Ste 411
Escondido, CA 92025-3380
Phone
(760) 466-9800
Fax
(360) 462-2741
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Rakesh R Patel, MD, CEO
Title
Ceo
Phone
(760) 737-8300

Specialties & licenses 1

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

Addresses

Primary practice location

488 E Valley Pkwy Ste 411
Escondido, CA 92025-3380

Mailing address

215 S Hickory St
Escondido, CA 92025-4359
Phone (833) 867-4642

Other names 1

  • Neighborhood Healthcare Downtown Escondido Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721001380 CA Part A Provider - Federally Qualified Health Center (FQHC) 5294649406 Practice locations: Escondido, CA

Federally qualified health center certification: CCN A01090

Legal name
NEIGHBORHOOD HEALTHCARE
Doing business as
NEIGHBORHOOD HEALTHCARE DOWNTOWN ESCONDIDO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 21, 2022
Last certification
Jul 21, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1972 in CA
Enrollment address
488 E Valley Pkwy
Ste 411
Escondido, CA 92025-3380

National Provider Directory

National Provider Directory
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.

View all 39

Locations

425 N Date St
Ste 203
Escondido, CA 92025

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Alan John Conrad Individual Corporate DirectorBoard Member President Mar 8, 2017
Federico Salas Individual Corporate DirectorBoard Member Jul 28, 1999
Katherine Schafer Individual Corporate DirectorBoard Member Secretary Nov 5, 2008
Rakesh R Patel Individual Corporate OfficerCeo Nov 1, 2017
Corporate DirectorBoard Member Nov 1, 2017
W-2 Managing EmployeeCeo Nov 1, 2017
Cabiria Lizarraga Individual Corporate DirectorBoard Member May 6, 2009
Judith Descalso Individual Corporate DirectorBoard Member Jan 1, 1987
Nasir Al Sammaraie Individual Corporate DirectorBoard Member Dec 9, 2015
Thomas Jenkins Individual Corporate DirectorBoard Member Jan 10, 2019
Elmer Cameron Individual Corporate DirectorBoard Member Sep 10, 2014
Neighborhood Healthcare Organization, Escondido, CA Non-profit Operational/Managerial Control Apr 25, 2022
William Smith Individual Corporate DirectorBoard Member Treasurer Jun 14, 2017
Christopher Cruz Individual Corporate DirectorBoard Member Nov 10, 2021
Lisa Misraje Individual OtherBoard Member Director Apr 27, 2022
Dolores Campillo Individual OtherBoard Member Director Oct 1, 2024
Laura Nunn Individual Corporate DirectorBoard Member Vice President Feb 13, 2019

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 20

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

FacilityTypeRoleSince
Neighborhood Healthcare - EscondidoEscondido, CA, CCN 551866 Federally qualified health center Operational/Managerial Control Nov 12, 1999
Neighborhood Healthcare - PediatricsEscondido, CA, CCN 551065 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood Healthcare LakesideLakeside, CA, CCN 551077 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood Healthcare Valley ParkwayEscondido, CA, CCN 551080 Federally qualified health center Operational/Managerial Control Oct 1, 2010
El CajonEl Cajon, CA, CCN 551079 Federally qualified health center Operational/Managerial Control Oct 1, 2010
TemeculaTemecula, CA, CCN 551091 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood HealthcareEscondido, CA, CCN 551173 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood Healthcare- MenifeeMenifee, CA, CCN 751154 Federally qualified health center Operational/Managerial Control Mar 12, 2015
Neighborhood HealthcareHemet, CA, CCN 751920 Federally qualified health center Operational/Managerial Control Mar 1, 2017
Neighborhood Healthcare - PrenatalEscondido, CA, CCN 921141 Federally qualified health center Operational/Managerial Control Apr 1, 2019
Neighborhodd Healthcare- Gold Family Health CenterPoway, CA, CCN 921149 Federally qualified health center Operational/Managerial Control Jun 1, 2019
Neighborhood Healthcare Temecula ParkwayTemecula, CA, CCN A01086 Federally qualified health center Operational/Managerial Control Jul 24, 2020
Neighborhood Healthcare- FallbrookFallbrook, CA, CCN A01100 Federally qualified health center Operational/Managerial Control May 3, 2018
Neighborhood Healthcare - Washington AveEscondido, CA, CCN A01104 Federally qualified health center Operational/Managerial Control Sep 1, 2019
Neighborhood Healthcare Menifee Suite CMenifee, CA, CCN A01121 Federally qualified health center Operational/Managerial Control Aug 8, 2019
Neighborhood Healthcare- Arlanza Family Health CenterRiverside, CA, CCN A01162 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood Healthcare- Eastside Health Center BLDG. BRiverside, CA, CCN A01157 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood HealthcareSan Marcos, CA, CCN A01158 Federally qualified health center Operational/Managerial Control Aug 5, 2022
Neighborhood Healthcare- RiversideRiverside, CA, CCN A01159 Federally qualified health center Operational/Managerial Control Oct 1, 2010
Neighborhood Healthcare - MollisonEl Cajon, CA, CCN A01834 Federally qualified health center Operational/Managerial Control (100%) Jul 17, 2023

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1649915604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359",
            "telephone_number": "833-867-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 411",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253380",
            "telephone_number": "760-466-9800",
            "fax_number": "360-462-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-737-8300",
        "authorized_official_credential": "MD, CEO"
    },
    "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 Downtown Escondido",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Healthcare Downtown Escondido",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.