OrganizationActive
Mission City Community Network, Inc.
NPI 1306017603 · Federally Qualified Health Center (FQHC) · Pacoima, CA
Provider details
- NPI number
- 1306017603
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nik Gupta, Chief Executive Officer(818) 895-3100
- License
- 960001450 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9919 Laurel Canyon Blvd
Pacoima, CA 91331-3940
Phone: (818) 686-4243
Fax: (818) 686-4259
Street-level locationGet directions
Mailing address
15206 Parthenia St
North Hills, CA 91343-5305
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2010-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.