NPIMap

Organization Active NPI

Camarena Health

Doing business as Camarena Health - Los Banos

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
National Provider Identifier
1114757754
Registry record updated Aug 7, 2024
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 - Los Banos
Practice address
2520 Pacheco Boulevard
Los Banos, CA 93635
Phone
(596) 644-4142
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 NU Primary

Addresses

Primary practice location

2520 Pacheco Boulevard
Los Banos, CA 93635

Mailing address

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

Other names 1

  • Camarena Health - Los Banos Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006001636 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Los Banos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114757754. Details of each certification follow.

Federally qualified health center certification: CCN A01989

Legal name
CAMARENA HEALTH
Doing business as
CAMARENA HEALTH - LOS BANOS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 24, 2025
Last certification
Sep 24, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2520 E Pacheco Blvd
Los Banos, CA 93635-9403

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

Locations

300 Prosperity Blvd
Bldg B
Chowchilla, CA 93610

35324 Highway 41
Ste A
Coarsegold, CA 93614
Phone (559) 222-6500

1130 Country Club Dr
Ste E
Madera, CA 93638
Phone (559) 673-3297

201 S B St
Madera, CA 93638
Phone (559) 664-4004

740 E Almond Ave
Madera, CA 93637

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 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%
Operational/Managerial ControlChief Executive Officer Nov 26, 2007 50%
Monic Asenjo-Wilhite Individual Corporate DirectorBoard 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%
Operational/Managerial ControlChief Operations Officer Apr 11, 2011 25%
Raquel Rodarte Individual Corporate DirectorBoard Secretary Jan 1, 2015
Bruce Alamedia Individual Corporate DirectorBoard Treasurer Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 183

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 183

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1114757754",
    "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": "2520 PACHECO BOULEVARD",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "93635",
            "telephone_number": "596-644-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-31",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarena Health - Los Banos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.