NPIMap

Organization Active NPI

Camarena Health

Doing business as Camarena Health Mariposa Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
National Provider Identifier
1083335327
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CAMARENA HEALTH
Doing business as
Camarena Health Mariposa Mobile Unit
Practice address
5082 Old Hwy N
Mariposa, CA 95338-2430
Phone
(559) 664-4000
Fax
(559) 675-5625
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Christine N. Howland
Title
Chief Operations Officer
Phone
(559) 664-4000

Specialties & licenses 1

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

Addresses

Primary practice location

5082 Old Hwy N
Mariposa, CA 95338-2430

Mailing address

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

Other names 1

  • Camarena Health Mariposa Mobile Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106001487 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Mariposa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083335327. Details of each certification follow.

Federally qualified health center certification: CCN A01884

Legal name
CAMARENA HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 26, 2024
Last certification
Sep 26, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1978 in CA
Enrollment address
5082 Old Hwy N
Mariposa, CA 95338-2430

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

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

Ownership & related parties

All disclosed owners & managing parties 10

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 Dec 1, 2023
Martha Cardona Individual Corporate DirectorBoard Member, Vice President May 23, 2018
Edgar Jimenez Individual Corporate DirectorBoard Member May 23, 2013
Paulo a Soares Individual Corporate OfficerChief Executive Officer Nov 26, 2007 50%
W-2 Managing EmployeeChief Executive Officer Nov 26, 2007 50%
Monic Asenjo-Wilhite Individual Corporate DirectorBoard Member, President Dec 1, 2022
Seann Garcia Individual Corporate DirectorBoard Member Nov 1, 2011
Abimael Vargas Individual Corporate DirectorBoard Member May 1, 2013
Christine N Howland Individual Corporate OfficerChief Operations Officer Apr 11, 2011 25%
W-2 Managing EmployeeChief Operations Officer Apr 11, 2011 25%
Raquel Rodarte Individual Corporate DirectorBoard Member, Secretary Jan 1, 2015
Bruce Alamedia Individual Corporate DirectorBoard Member, Treasurer Jan 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1083335327",
    "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": "5082 OLD HWY N",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953382430",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "559-664-4000"
    },
    "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": "Camarena Health Mariposa Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mariposa, CA

Sources for this page

Verify at the official NPI Registry.