NPIMap

Organization Active NPI

Hope Community Care Clinic, Inc

  • Community Health Clinic/Center
  • Calexico, CA
National Provider Identifier
1720853237
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HOPE COMMUNITY CARE CLINIC, INC
Practice address
501 E 3Rd St
Calexico, CA 92231-2832
Phone
(760) 890-4840
Fax
(760) 890-4841
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Angel Samvalian
Title
Administrator
Phone
(818) 243-9999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

501 E 3Rd St
Calexico, CA 92231-2832

Mailing address

716 W Broadway
Glendale, CA 91204-1010
Phone (818) 243-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307001680 CA Part B Supplier - Clinic/Group Practice 8426354143 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Calexico, CA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Hope Community Care Clinic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

501 E 3rd St
Calexico, CA 92231
Phone (619) 351-1011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1720853237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041010",
            "telephone_number": "818-243-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 3RD ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312832",
            "telephone_number": "760-890-4840",
            "fax_number": "760-890-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COMMUNITY CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SAMVALIAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-243-9999"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.