EAST VALLEY COMMUNITY HEALTH CENTER
NPI 1174251516
Clinic/Center - Federally Qualified Health Center (FQHC) in La Puente, CA

Active since August 12, 2022
17800 RENAULT ST, LA PUENTE, CA 91744(626) 919-4333(626) 919-2084 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About East Valley Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VALLEY COMMUNITY HEALTH CENTER (NPI 1174251516) is a healthcare organization registered as a federally qualified health center (fqhc) in La Puente, California and active in the NPI registry since August 2022. The organization lists Alicia Mardini, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174251516
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST VALLEY COMMUNITY HEALTH CENTER
Location Address17800 RENAULT STLa Puente, CA 91744-5333
Mailing Address420 S Glendora AveWest Covina, CA 91790-3001 · (626) 919-4333 · Fax (626) 919-2084
Fax(626) 919-2084
Organization SubpartNo
Authorized OfficialAlicia MardiniChief Executive Officer · (626) 919-4333
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1174251516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
17800 RENAULT ST, La Puente, CA 91744

Other Identifiers 1

Other960000210CA · State Of California Dept Of Public Health

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Valley Community Health Center's NPI number?

The NPI number for East Valley Community Health Center is 1174251516. It was assigned to this organization in the NPPES registry on August 12, 2022.

Where is East Valley Community Health Center located?

East Valley Community Health Center is located at 17800 Renault St, La Puente, CA 91744. The listed phone number is (626) 919-4333.

What is East Valley Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for East Valley Community Health Center was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.