NPIMap

Organization Active NPI

Community Health Systems, Inc.

Doing business as Bloomington Community Health Center - Building 2

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
National Provider Identifier
1093226243
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH SYSTEMS, INC.
Doing business as
Bloomington Community Health Center - Building 2
Practice address
18651 Valley Blvd Unit a
Bloomington, CA 92316-1831
Phone
(951) 571-2300
NPI assigned
Oct 16, 2017
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Lori Holeman
Title
Ceo
Phone
(951) 571-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

18651 Valley Blvd Unit a
Bloomington, CA 92316-1831

Mailing address

7880 Mission Grove Pkwy S
Riverside, CA 92508-6000
Phone (951) 571-2300

Other names 1

  • Bloomington Community Health Center - Building 2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051117000822 CA Part B Supplier - Clinic/Group Practice 7012824717 Receives reassigned benefits from 84 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bloomington, CA; Fallbrook, CA; Moreno Valley, CA; Riverside, CA
O20181113000735 CA Part A Provider - Federally Qualified Health Center (FQHC) 7012824717 Practice locations: Bloomington, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093226243. Details of each certification follow.

Federally qualified health center certification: CCN 921140

Legal name
COMMUNITY HEALTH SYSTEMS INC
Doing business as
BLOOMINGTON COMMUNITY HEALTH CENTER- BUILDING 2
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 12, 2018
Last certification
Nov 12, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 17, 1984 in CA
Enrollment address
18651 Valley Blvd
Bloomington, CA 92316-1831

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

18601 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

18651 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

18651 Valley Blvd
Unit A
Bloomington, CA 92316
Phone (951) 571-2300

407 Potter St
Ste G
Fallbrook, CA 92028
Phone (760) 451-8537

2933 University Ave
Riverside, CA 92507
Phone (951) 224-8220

8151 Arlington Ave
Riverside, CA 92503
Phone (951) 588-0859

8151 Arlington Ave
Ste U
Riverside, CA 92503
Phone (951) 588-0859

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Lisa Michelle Moxley Individual W-2 Managing EmployeeChief Human Resources Officer Jun 13, 2024
Denyse Baham Individual Corporate DirectorBoard Member Nov 22, 2024
Naureen Bano Khan Individual W-2 Managing EmployeeDirector of Grants Jun 13, 2024
Regina Leann Mayer Individual W-2 Managing EmployeeDirector of Nursing Jun 13, 2024
Draymond Crawford Individual Corporate DirectorBoard Member May 1, 1984
Vanessa I Ortiz Individual W-2 Managing EmployeeDirector of Administrative Services Aug 16, 2010
Oscar Ulric Jones Individual Corporate DirectorBoard Member Dec 18, 2007
Naomi Dearmore Individual W-2 Managing EmployeeChief Data Analytics Officer Jun 13, 2024
Marina Lopez-Rabindranath Individual W-2 Managing EmployeeDirector of Community Partnerships Jun 13, 2024
Annie Thao Nguyen Individual Corporate OfficerCfo Mar 1, 2018
W-2 Managing EmployeeCfo Jun 13, 2024
Tracy Robinson Individual W-2 Managing EmployeeDirector of Pharmacy Jun 13, 2024
Linda Prieto Individual W-2 Managing EmployeeDirector of Clinic Operations Jun 13, 2024
Operational/Managerial ControlDirector of Clinic Operations Jun 13, 2024
Cheryl Whitten Individual W-2 Managing EmployeeDirector Specialty Services Jun 13, 2024
Community Health Systems Inc Organization, Moreno Valley, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 14, 2024 100%
Operational/Managerial Control Jun 14, 2024 100%
Jonnathan Barajas Individual Corporate DirectorBoard Member Aug 22, 2017
Luan T Le Individual W-2 Managing EmployeeDirector of Finance Jun 13, 2024
Kimberly Ramos Individual Corporate DirectorBoard Member Aug 22, 2016
Angel Acevedo Individual W-2 Managing EmployeeDirector of Policy Jun 13, 2024
Allison Monterrosa Individual Corporate DirectorBoard Member Jun 27, 2017
Damien Peteet Individual W-2 Managing EmployeeDirector of It Jun 13, 2024
Jennifer Dobrowolsky Individual Corporate DirectorBoard Member Nov 11, 2024
Lori Holeman Individual Corporate OfficerCeo Aug 11, 2008
W-2 Managing EmployeeAd; Jun 13, 2024 100%

Owners & managing parties with NPI records 6

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

  • Community Health Systems Inc

    dba Fallbrook Family Health Center

    • Federally Qualified Health Center (FQHC)
    • Fallbrook, CA
    • NPI 1982756086

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Community Health Systems, Inc.

    dba University Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Riverside, CA
    • NPI 1205102068

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Community Health Systems, Inc.

    dba Bloomington Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bloomington, CA
    • NPI 1487706347

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Community Health Systems, Inc.

    dba Magnolia Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Riverside, CA
    • NPI 1548538911

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Community Health Systems, Inc.

    dba Moreno Valley Family Health Center

    • Federally Qualified Health Center (FQHC)
    • Moreno Valley, CA
    • NPI 1679749501

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Community Health Systems, Inc.

    dba Inland Empire Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bloomington, CA
    • NPI 1952308009

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Community Health CenterRiverside, CA, CCN 751009 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
University Community Heath CenterRiverside, CA, CCN 751025 Federally qualified health center Operational/Managerial Control (100%) Oct 9, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1093226243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 MISSION GROVE PKWY S",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086000",
            "telephone_number": "951-571-2300",
            "fax_number": "951-200-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18651 VALLEY BLVD UNIT A",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161831",
            "telephone_number": "951-571-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "HOLEMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-571-2300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Community Health Center - Building 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, CA

Sources for this page

Verify at the official NPI Registry.