| One Health Center Inc. | |
|
199 N. 2nd Ave Upland CA 91786-6019 | |
| (909) 294-3915 | |
| (909) 529-7311 |
| Full Name | One Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 N. 2nd Ave, Upland, California |
| Authorized Official Name and Position | Kirtrina Jones (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9092943915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Health Center Inc. 954 W Foothill Blvd Ste E Upland CA 91786-3782 Ph: () - | One Health Center Inc. 199 N. 2nd Ave Upland CA 91786-6019 Ph: (909) 294-3915 |
| NPI Number | 1265272736 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 7517494198 |
|---|---|
| Medicare Enrollment ID | O20241219004316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265272736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Rick M Hirsch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497774954 PECOS PAC ID: 1759294465 Enrollment ID: I20031110000178 |
| Provider Name | Vanessa C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467616151 PECOS PAC ID: 8325283641 Enrollment ID: I20130314000223 |
| Provider Name | Michelle I Garza-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902926587 PECOS PAC ID: 8022379817 Enrollment ID: I20180216002329 |
| Provider Name | Mayra D Roman Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679287957 PECOS PAC ID: 5597291484 Enrollment ID: I20241216003483 |
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