Mission City Community Network Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

550001476 Issued in CA

Legal business name

MISSION CITY COMMUNITY NETWORK INC

Practice address

501 E Hardy St
Suite 110
Inglewood, CA 90301-4054

Phone

(818) 895-3100

Fax

(818) 892-4651

NPI assigned

Aug 7, 2009

Last updated

Jun 22, 2012By 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

Mr. Nik Gupta

Title

Chief Executive Officer

Phone

(818) 895-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

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

• Mission City Community Network, Inc

  • Primary Care Clinic/Center
  • Inglewood, CA
  • NPI 1346525912

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Primary Care Clinic/Center
  • Monrovia, CA
  • NPI 1063795250

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Victorville, CA
  • NPI 1265708994

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pomona, CA
  • NPI 1598996506

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Primary Care Clinic/Center
  • Pomona, CA
  • NPI 1609151273

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747

  O20040204000544

  Same enrollment
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Hills, CA
  • NPI 1760409791

  O20040204000544

  Same enrollment

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1659502664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435305",
            "telephone_number": "818-895-3100",
            "fax_number": "818-892-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "SUITE 110",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014054",
            "telephone_number": "818-895-3100",
            "fax_number": "818-892-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CITY COMMUNITY NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NIK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-895-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550001476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Miller
• Stephen Miller, PH.D.
• Kimberly Franchelle Mills, RN
• Jehan Zeb Mir, MD
• Michelle Jeanette Miranda
• Mission City Community Network, Inc
• Mission City Community Network, Inc
• Anitha Theresa Mitchell, M.D.
• Beverly A Mitchell
• Bryttany Mitchell

• Community Health Clinic/Center in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.