NPIMap

Organization Active NPI

Central Neighborhood Health Foundation - Base Line San Bernardino

  • Community Health Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1689173197
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO
Practice address
1574 W Base Line St
San Bernardino, CA 92411-1777
Phone
(909) 386-1880
NPI assigned
Feb 9, 2018
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL NEIGHBORHOOD HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1574 W Base Line St
San Bernardino, CA 92411-1777

Mailing address

1574 W Base Line St
San Bernardino, CA 92411-1777
Phone (909) 386-1880

National Provider Directory

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

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1689173197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 W BASE LINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111777",
            "telephone_number": "909-386-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 W BASE LINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111777",
            "telephone_number": "909-386-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "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": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.