Donna Leffler Health Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

CH02077 Issued in CA

Legal business name

DONNA LEFFLER HEALTH CLINIC

Practice address

815 S Willow Ave
Rialto, CA 92376-6934

Phone

(909) 820-7785

Fax

(909) 820-7770

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By 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

Mrs. Annette McCormick Witkofsky, RNPNP

Title

Director of Health Services

Phone

(909) 820-8775

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Donna Leffler Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rialto Unified School District

  • Local Education Agency (LEA)
  • Rialto, CA
  • NPI 1700095866
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689884504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766934",
            "telephone_number": "909-820-7785",
            "fax_number": "909-820-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766934",
            "telephone_number": "909-820-7785",
            "fax_number": "909-820-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA LEFFLER HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITKOFSKY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MCCORMICK",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "909-820-8775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNPNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "CH02077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH02077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Custodio Diwa
• Jordan Dobbin, DDS
• Charles J. Dobbs, R.PH., MBA
• Karla Dominguez
• Dominion Transportation
• Dove Tree Manor, Inc.
• Dr. Ahuja and Dr. Gill's Dental Office
• Dr. Ahuja and Dr. Gill's Dental Office
• Dravaryn Clinical Labs LLC
• Amy Elizabeth Drow, COTA/L

• Community Health Clinic/Center in Rialto, CA
• Providers in Rialto, 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 Aug 22, 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.