Operation Samahan Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

OPERATION SAMAHAN INC

Practice address

480 4TH Ave Ste 401
Chula Vista, CA 91910-4413

Phone

(844) 200-2426

Fax

(619) 356-2726

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Archie Palis Bella, MD

Title

Executive Director

Phone

(760) 969-7770

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• OPSAM HEALTH Doing business as

Electronic endpoints 2

Tax ID family

Operation Sama Han7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Operation Samahan Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1376358549
  NPD tax ID
• Operation Samahan Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1861933897
  NPD tax ID
• Operation Samahan, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1194616268
  NPD tax ID
• Operation Samahan, Inc.

  • Non-Pharmacy Dispensing Site
  • San Diego, CA
  • NPI 1356510242
  NPD tax ID
• Operation Samahan, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1871680397
  NPD tax ID
• Operation Samahan, Inc. Dba Opsam Health

  • Federally Qualified Health Center (FQHC)
  • Chula Vista, CA
  • NPI 1417842436
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAEJCA

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1043926009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 401",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104413",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION SAMAHAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BELLA",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_middle_name": "PALIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-969-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699216622",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275617169",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801907449",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205134517",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871680397",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://caoshae8e528d1yp90app.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp",
            "affiliation": "N",
            "endpointDescription": "Cloud based server EMR, eClinicalWorks",
            "address_1": "2743 Highland Ave Ste 401",
            "city": "National City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919507410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "caoshae8e528d1yp90app.ecwcloud.com",
            "affiliation": "N",
            "address_1": "2743 Highland Ave Ste 401",
            "city": "National City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919507410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OPSAM HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Omura
• John Joseph Oneill II, DDS
• Laura Karina Ontiveros
• Chinyere Esther Opara, DNP, FNP-BC
• Open Arms Adhc, Inc.
• Operation Samahan, Inc. Dba Opsam Health
• Joelasa Dasel Oquendo-Luna
• Vivian Achieng Oray, AGNP-C
• Kerin Orbe, D.O.
• Liana M Ordonez

• Federally Qualified Health Center (FQHC) in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.