Mission City Community Network, Inc.
NPI 1710102009 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hollywood, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mission City Community Network, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Hollywood, CA (NPI 1710102009).
Provider details
- NPI number
- 1710102009
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nik Gupta, Chief Executive Officer(818) 895-3100
- License
- 960001162 (CA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 960001162 (CA)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2011-03-21
Frequently asked questions
- What is Mission City Community Network, Inc.'s NPI number?
- Mission City Community Network, Inc.'s National Provider Identifier (NPI) is 1710102009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission City Community Network, Inc.?
- Mission City Community Network, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mission City Community Network, Inc. located?
- Mission City Community Network, Inc.'s practice location on file with NPPES is 4842 Hollywood Blvd, Hollywood, CA 90027-5302.
- What is Mission City Community Network, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mission City Community Network, Inc. is (323) 644-1110.
- Does Mission City Community Network, Inc. accept Medicare?
- Mission City Community Network, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mission City Community Network, Inc.?
- The authorized official listed on Mission City Community Network, Inc.'s NPPES record is Nik Gupta, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission City Community Network, Inc.'s NPI active?
- Yes — Mission City Community Network, Inc.'s NPI (1710102009) is active in the NPPES registry as of the last update on 2011-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.