Active NPI
Chicago Clinica Medica Familiar Operated by Neighborhood Healthcare
- Federally Qualified Health Center (FQHC)
- Riverside, CA
National Provider Identifier
1760098503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CHICAGO CLINICA MEDICA FAMILIAR OPERATED BY NEIGHBORHOOD HEALTHCARE
- Practice address
- 4022 Chicago Ave Ste a
Riverside, CA 92507-5340 - Phone
- (760) 520-8300
- NPI assigned
- Sep 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rakesh Patel, MD
- Title
- Ceo
- Phone
- (760) 520-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
4022 Chicago Ave Ste a
Riverside, CA 92507-5340
Mailing address
425 N Date St
Escondido, CA 92025-3413
Phone (760) 520-8300
Other names 1
- Chicago Clinica Medica Familiar operated by Neighborhood Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Neighborhood Healthcare
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Organizations that report the same tax identification number in the National Provider Directory.
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- Federally Qualified Health Center (FQHC)
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- Federally Qualified Health Center (FQHC)
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- Federally Qualified Health Center (FQHC)
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- Federally Qualified Health Center (FQHC)
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Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pauma Valley, CA
- NPI 1144254228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1760098503",
"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": "760-520-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 CHICAGO AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075340",
"telephone_number": "760-520-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO CLINICA MEDICA FAMILIAR OPERATED BY NEIGHBORHOOD HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"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"
},
"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": "Chicago Clinica Medica Familiar operated by Neighborhood Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.