MISSION CITY COMMUNITY NETWORK, INC. – NPI #1306017603
Clinic/Center

MISSION CITY COMMUNITY NETWORK, INC. is an AHC clinic located in PACOIMA, CA. NPPES has assigned the NPI number 1306017603 to MISSION CITY COMMUNITY NETWORK, INC. on March 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Jul 10, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSION CITY COMMUNITY NETWORK, INC. below.

NPI Profile for
MISSION CITY COMMUNITY NETWORK, INC.

NPI Number
1306017603
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSION CITY COMMUNITY NETWORK, INC.
Primary location
9919 LAUREL CANYON BLVD
PACOIMA, CA 91331-3940
Phone: (818) 686-4243 Fax: (818) 686-4259
Mailing address
15206 PARTHENIA ST
NORTH HILLS, CA 91343-5305
Phone: (818) 895-3100 Fax: (818) 892-3352
Organization Subpart
No
Authorized Official
NIK GUPTA
CHIEF EXECUTIVE OFFICER
Phone: (818) 895-3100
Updated
Identifiers

Identifiers for MISSION CITY COMMUNITY NETWORK, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL PROVIDER NUMBERCAEAP70436F
OTHERMEDICAL PROVIDER NUMBERCAHAP70436F
OTHERMEDICAL PROVIDER NUMBERCAFHC70436F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 960001450
261QC1500X
- Clinic/Center / Community Health
CA 960001450

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.