NPIMap

Organization Active NPI

Neighborhood Healthcare

Doing business as Neighborhood Healthcare - Valley Parkway

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
National Provider Identifier
1720264641
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTHCARE
Doing business as
Neighborhood Healthcare - Valley Parkway
Practice address
728 E Valley Pkwy
Escondido, CA 92025-3052
Phone
(760) 737-6900
Fax
(760) 741-9380
NPI assigned
Jan 10, 2008
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Rakesh Patel, MD,MBA,FAAFP,CPENPI 1205861010
Title
Ceo
Phone
(760) 520-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

728 E Valley Pkwy
Escondido, CA 92025-3052

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035

Other names 1

  • Neighborhood Healthcare - Valley Parkway Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110212000038 CA Part A Provider - Federally Qualified Health Center (FQHC) 5294649406 Practice locations: Escondido, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720264641. Details of each certification follow.

Federally qualified health center certification: CCN 551080

Legal name
NEIGHBORHOOD HEALTHCARE
Doing business as
NEIGHBORHOOD HEALTHCARE VALLEY PARKWAY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2011
Last certification
Feb 12, 2011
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
728 E Valley Pkwy
Escondido, CA 92025-3052

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Healthcare- Pace Riverside40 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

728 E Valley Pkwy
Escondido, CA 92025
Phone (760) 737-6900

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 Director Oct 1, 2010
Katherine Schafer Individual Corporate Director Oct 1, 2010
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 Director Oct 1, 2010
Nasir Al Sammaraie Individual Corporate DirectorBoard Member Dec 9, 2015
Thomas Jenkins Individual Corporate DirectorBoard Member Jan 10, 2019
Neighborhood Healthcare Organization, Escondido, CA Operational/Managerial Control Oct 1, 2010
William Smith Individual Corporate DirectorBoard Member Treasurer Jun 14, 2017
Christopher Cruz Individual Corporate DirectorBoard Member Nov 10, 2021
Lisa Misraje Individual Corporate Director Jun 14, 2017
Jesse Renteria Individual Corporate Director Nov 10, 2021
Dolores Campillo Individual Corporate Director May 6, 2009
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
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 Downtown EscondidoEscondido, CA, CCN A01090 Federally qualified health center Operational/Managerial Control Apr 25, 2022
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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1720264641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-520-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253052",
            "telephone_number": "760-737-6900",
            "fax_number": "760-741-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-520-8300",
        "authorized_official_credential": "MD,MBA,FAAFP,CPE"
    },
    "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 - Valley Parkway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Healthcare - Valley Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.