Neighborhood Healthcare

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NEIGHBORHOOD HEALTHCARE

Practice address

41715 Winchester Rd
Suite 203 & 204
Temecula, CA 92590-4854

Phone

(951) 600-6300

Fax

(951) 600-6306

NPI assigned

Jan 7, 2008

Last updated

Sep 25, 2012By 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

Tracy Ream

Title

Ceo

Phone

(760) 520-8375

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780869966. Details of each certification follow.

• CCN 551091 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 551091

Legal name

NEIGHBORHOOD HEALTHCARE

Doing business as

TEMECULA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2011

Last certification

Feb 14, 2011

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 25, 1975 in CA

Enrollment address

41840 Enterprise Cir N
Temecula, CA 92590-5654

Other NPIs on the same Medicare enrollment 1

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

• Neighborhood Healthcare

  dba Neighborhood Healthcare - Temecula

  • Federally Qualified Health Center (FQHC)
  • Temecula, CA
  • NPI 1437335148

  O20110223000924

  Same enrollment

Locations

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alan John Conrad, MD

  • Hospitalist Physician
  • Poway, CA
  • NPI 1972604627

  Corporate Director

  CMS ownership
• Rakesh Patel, M.D

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1205861010

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

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.

• Tiffany Alexis Castillo

  • Psychiatry Physician
  • Escondido, CA
  • NPI 1114459252
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1780869966",
    "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": "760-520-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 203 & 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904854",
            "telephone_number": "951-600-6300",
            "fax_number": "951-600-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "REAM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-520-8375"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70563G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70563G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP70563G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevie Negrete
• Erik Negrette-Macias
• Teresa Nehf
• Neighborhood Healthcare (Neighborhood Healthcare-Temecula Pkwy)
• Neighborhood Healthcare (Neighborhood Healthcare - Temecula)
• Deborah Neighbors
• Keyarrah Neilson-Harris
• Eric Michael Neilson, M.D.
• Amber Nelson
• Ashley Nelson

• General Practice Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.