MOUNTAIN HEALTH & COMMUNITY SERVICES INC. NPI 1861603151

NPI Information

  • NPI: 1861603151
  • Provider Name: MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: 25TH STREET FAMILY MEDICINE
  • Address: 316 25TH ST
    SAN DIEGO, CA
    ZIP 92102
  • Phone: (619) 238-5551

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NPI Details

MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in San Diego, CA. MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. NPI is 1861603151. The provider is registered as an organization entity type.
The provider Is Doing Business As 25th Street Family Medicine.

The provider's business location address is:

316 25TH ST
SAN DIEGO, CA
ZIP 92102-016
Phone: (619) 238-5551
Fax: (619) 238-3807

The provider's authorized official is Judith Shaplin .
The authorized official title is Ceo and has the following contact phone number (619) 445-6200.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 5/8/2017.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550000543CALIFORNIAYes

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
1BCP71185FOTHERCALIFORNIASTATE PROGRAM
2HAP71185FOTHERCALIFORNIASTATE PROGRAM
3051090MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
4FHC71185FMEDICAIDCALIFORNIA
5CB213152MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 3/30/2025

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