EL PROYECTO DEL BARRIO INC NPI 1770696023

NPI Information

NPI: 1770696023
Provider Name: EL PROYECTO DEL BARRIO, INC

Other Name: EL PROYECTO DEL BARRIO AZUSA HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
150 N AZUSA AVE
AZUSA, CA
ZIP 91702
Phone: (626) 969-7885
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EL PROYECTO DEL BARRIO, INC is a federally qualified health center (fqhc) clinic center in Azusa, CA. EL PROYECTO DEL BARRIO, INC NPI is 1770696023. The provider is registered as an organization entity type.
The provider Other Name Is El Proyecto Del Barrio Azusa Health Center.

The provider's business location address is:

150 N AZUSA AVE
AZUSA, CA
ZIP 91702-521
Phone: (626) 969-7885
Fax: (818) 969-9686

The provider's authorized official is Corinne Sanchez .
The authorized official title is President/ceo and has the following contact phone number (818) 830-7133.

The CLIA number assigned to this NPI record is 05D0941475 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	550000128	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	550000128	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EAP70468F	OTHER	CALIFORNIA	EAPC
2	=========	OTHER	CALIFORNIA	TAX ID #
3	FHC71129F	MEDICAID	CALIFORNIA
4	FHC70468F	MEDICAID	CALIFORNIA
5	W11570C	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE GRP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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