NPIMap

Organization Active NPI

Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
National Provider Identifier
1013406610
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CAMARENA HEALTH
Practice address
441 E Yosemite Ave
Madera, CA 93638-3604
Phone
(559) 664-4000
Fax
(559) 675-5625
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Luzvinda Gabriela Martinez
Title
Billing Supervisor
Phone
(559) 664-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

441 E Yosemite Ave
Madera, CA 93638-3604

Mailing address

PO Box 299
Madera, CA 93639-0299
Phone (559) 664-4000

Other names 1

  • Yosemite Ave. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102001194 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Madera, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013406610. Details of each certification follow.

Federally qualified health center certification: CCN 921106

Legal name
CAMARENA HEALTH
Doing business as
CAMARENA HEALTH-YOSEMITE AVE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 19, 2018
Last certification
Dec 19, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1978 in CA
Enrollment address
441 E Yosemite Ave
Madera, CA 93638-3604

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2156041Camarena Health- Pediatrics441 E Yosemite Avenue, Madera, CA 93638Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Darin M Camarena Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

441 E Yosemite Ave
Madera, CA 93638

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25900/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patty Thompson Individual Corporate DirectorBoard Member Nov 4, 2006
Martha Cardona Individual Corporate DirectorBoard Member May 23, 2018
Joel F Ramirez Individual Corporate DirectorChief Medical Officer Dec 1, 2018
Edgar Jimenez Individual Corporate DirectorBoard Member Jul 16, 2013
Paulo a Soares Individual Corporate OfficerCheif Executive Officer Feb 1, 2011
Corporate DirectorChief Executive Officer Feb 1, 2011
Monic Asenjo-Wilhite Individual Corporate DirectorBoard Member Jan 24, 2001
Seann Garcia Individual Corporate DirectorBoard Member Nov 16, 2011
Patty Pistoresi Individual Corporate DirectorBoard Member Apr 24, 2007
Luzvinda Gabriela Martinez Individual W-2 Managing EmployeeBilling Supervisor Jul 1, 2005
Abimael Vargas Individual Corporate DirectorBoard Member May 25, 2011
Christine N Howland Individual Corporate OfficerChief Operations Officer Apr 11, 2011
W-2 Managing EmployeeChief Operations Officer Apr 11, 2011
Raquel Rodarte Individual Corporate DirectorBoard Member Jan 1, 2015
Cecilia Massetti Individual Corporate DirectorBoard Member Mar 25, 2009
Anita Damiano Individual Corporate DirectorBoard Member Mar 22, 2017
Muriel Fore Individual Corporate DirectorBoard Member Jun 27, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1013406610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936390299",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383604",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUZVINDA",
        "authorized_official_middle_name": "GABRIELA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "559-664-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yosemite Ave.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yosemite Ave.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.