Mt. San Jacinto Community College District

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT

Practice address

28237 La Piedra Rd
Menifee, CA 92584-8947

Phone

(951) 465-8371

NPI assigned

Jun 20, 2024

Organization subpart

Yes

Parent organization

MT. SAN JACINTO COMMUNITY COLLEGE DISTRICTAs reported in NPPES

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

Authorized official

Name

Michael Beckham

Title

Interim VP of Business Services

Phone

(951) 487-3100

Specialties & licenses 2

Addresses

Other names 1

• Mt. San Jacinto - Menifee Valley Doing business as

Tax ID family

Mt San Jacinto Community College District2 organizations share this tax ID, including this one

Part of

Mt San Jacinto Community College District

Other organizations with this tax ID 1

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

• Mt. San Jacinto Community College District

  • Student Health Clinic/Center
  • San Jacinto, CA
  • NPI 1205679339
  NPD tax ID

Locations

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1700620127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28237 LA PIEDRA RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848947",
            "telephone_number": "951-465-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28237 LA PIEDRA RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848947",
            "telephone_number": "951-465-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM VP OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "951-487-3100"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. San Jacinto - Menifee Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Morris
• Whitney Taylor Paige Morrow, FNP
• Patricia Lynne Mosher, MSW
• Tynika Meshell Mosley
• Johnny Lionel Moss Jr.
• Joseph Mule, DMD
• Robert Mullins
• Amber Munerlyn
• Ashlee Michelle Munoz, DPT
• Daniela Munoz

• Student Health Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.