NPIMap

Organization Active NPI

Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Chowchilla, CA
National Provider Identifier
1104603620
Registry record updated Sep 8, 2023
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
285 Hospital Dr
Chowchilla, CA 93610-2041
Phone
(559) 288-4945
NPI assigned
Sep 8, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Christine Nicole Howland, MBA
Title
Chief Operations Officer
Phone
(559) 664-4142

Specialties & licenses 1

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

Addresses

Primary practice location

285 Hospital Dr
Chowchilla, CA 93610-2041

Mailing address

730 N I St Ste 202
Madera, CA 93637-3077
Phone (559) 664-4142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004003361 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Chowchilla, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104603620. Details of each certification follow.

Federally qualified health center certification: CCN A01903

Legal name
CAMARENA HEALTH
Doing business as
CAMARENA HEALTH - CHOWCHILLA NORTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 30, 2024
Last certification
Dec 30, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1978 in CA
Enrollment address
285 Hospital Dr
Chowchilla, CA 93610-2041

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
05D2299606Camarena Health- Chowchilla North285 Hospital Dr, Chowchilla, CA 93610Provider-performed microscopyFeb 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Darin M Camarena Health26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 12

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
Virginia M Lane-Pacheco Individual Corporate DirectorBoard Member Jan 1, 2025
Oracio M Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025
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 Treasurer Jan 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1104603620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N I ST STE 202",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373077",
            "telephone_number": "559-664-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HOSPITAL DR",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102041",
            "telephone_number": "559-288-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "559-664-4142",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

Verify at the official NPI Registry.