| Rancho Penasquitos Community Health Center | |
|
9995 Carmel Mountain Rd Suite B10 B11 San Diego CA 92129-4417 | |
| (844) 200-2426 | |
| (619) 356-2726 |
| Full Name | Rancho Penasquitos Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 9995 Carmel Mountain Rd Suite B10 B11, San Diego, California |
| Authorized Official Name and Position | Archie Bella (CEO/CMO) |
| Authorized Official Contact | 8442002426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Penasquitos Community Health Center 1428 Highland Avenue National City CA 91950-4624 Ph: (844) 200-2426 | Rancho Penasquitos Community Health Center 9995 Carmel Mountain Rd Suite B10 B11 San Diego CA 92129-4417 Ph: (844) 200-2426 |
| NPI Number | 1699216622 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 7911932645 |
|---|---|
| Medicare Enrollment ID | O20180531000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699216622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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