Brookside Community Health Center
Organization Active NPI Primary Care Clinic/Center · San Pablo, CA
NPI 1801060637 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1801060637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 0001779 (CA)
- Legal business name
- BROOKSIDE COMMUNITY HEALTH CENTER
- Practice address
- 2023 Vale Rd
Suite 107
San Pablo, CA 94806-3834 - Phone
- (510) 215-9092
- Fax
- (510) 215-0362
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Molly Mekjavich
- Title
- Certified Nurse Midwife
- Phone
- (510) 215-9092
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Brookside Community Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0001779 | CA | Yes |
Addresses
Primary practice location
2023 Vale Rd
Suite 107
San Pablo, CA 94806-3834
Mailing address
2023 Vale Rd
Suite 107
San Pablo, CA 94806-3834
Phone (510) 215-9092
Other providers in San Pablo, CA
- Maureen Lucille Brannon
- Joshua Braslow
- Colleen Bray
- Alexandra Elisabeth Brewster
- Sarah Romanow Briand
- Brookside Community Health Center, Inc
- Brookvale Medical Center Pharmacy
- Jamelia La-Kenya Brown
- Ahsabi-Monique L Burris
- Monica Adriana Bush
All providers in San Pablo, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.