MISSION CITY COMMUNITY NETWORK, INC.
NPI 1710102009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hollywood, CA
About Mission City Community Network, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION CITY COMMUNITY NETWORK, INC. (NPI 1710102009) is a healthcare organization registered as a mental health (including community mental health center) in Hollywood, California and active in the NPI registry since April 2007. The organization lists Nik Gupta, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission City Community Network, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
145Medicare enrollment records show 145 clinicians reassign Medicare billing to Mission City Community Network, Inc., which bills Medicare for the services they deliver. Of these, 22 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 145Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mission City Community Network, Inc.'s NPI number?
The NPI number for Mission City Community Network, Inc. is 1710102009. It was assigned to this organization in the NPPES registry on April 13, 2007.
Where is Mission City Community Network, Inc. located?
Mission City Community Network, Inc. is located at 4842 Hollywood Blvd, Hollywood, CA 90027. The listed phone number is (323) 644-1110.
What is Mission City Community Network, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mission City Community Network, Inc. enrolled in Medicare?
Yes. Mission City Community Network, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission City Community Network, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 13 Medicare specialties reassign their Medicare billing to Mission City Community Network, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (45), Clinical Psychologist (25) and Clinical Social Worker (20). Of these, 22 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mission City Community Network, Inc. was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mission City Community Network, Inc. · NPI 1710102009
Mental Health (Including Community Mental Health Center) organization in Hollywood, California. Organization record, active in the CMS NPPES registry since April 13, 2007.
## Identity
- **NPI:** 1710102009 (Entity type: Organization)
- **Enumerated:** April 13, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nik Gupta, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 4842 HOLLYWOOD BLVD, Hollywood, CA 90027-5302
- **Phone:** (323) 644-1110 · **Fax:** (323) 644-1171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 145 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (45), Clinical Psychologist (25), Clinical Social Worker (20); 22 practice within 10 miles; [full list](https://npiprofile.com/npi/1710102009/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2011
- **Other identifiers:** Other FHC70938F (CA); Medicaid HAP70436F (CA); Other 551067 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710102009) · Data from the CMS NPPES public registry.