NPIMap

Organization Active NPI

Esperanza Health Centers

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1124187125
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ESPERANZA HEALTH CENTERS
Practice address
2001 S. California Ave
Suite 100
Chicago, IL 60608-2405
Phone
(773) 584-1635
Fax
(773) 376-8845
NPI assigned
Dec 6, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ESPERANZA HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Zachary Spreitzer
Title
Director of Finance
Phone
(773) 640-5785

Specialties & licenses 1

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

Addresses

Primary practice location

2001 S. California Ave
Suite 100
Chicago, IL 60608-2405

Mailing address

2001 S. California Ave
Suite 100
Chicago, IL 60608-2405
Phone (773) 584-6132

Other names 1

  • Esperanza California Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050204000750 IL Part B Supplier - Clinic/Group Practice 2961453105 Receives reassigned benefits from 125 practitioners
12 other NPIs on this enrollment
Practice locations: Chicago, IL
O20051028000132 IL Part A Provider - Federally Qualified Health Center (FQHC) 2961453105 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124187125. Details of each certification follow.

Federally qualified health center certification: CCN 141020

Legal name
ESPERANZA HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 22, 2005
Last certification
Nov 22, 2005
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 26, 2004 in IL
Enrollment address
2001 S California Ave
Suite 100
Chicago, IL 60608-2405

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 12

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

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
14D1027958Esperanza Health Centers2001 S California Ave - Ste 100, Chicago, IL 60608Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory
Part of
Centro de Salud Esperanza

Locations

4350 S Laporte Ave
Chicago, IL 60638

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

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
Elba Aranda-Suh Individual Corporate Director Sep 1, 2017
Destiny Ortega Individual Corporate Director Nov 1, 2021
Joel Rodarte Individual Corporate Director Oct 1, 2018
Li Yu Tan Individual Corporate Director Apr 1, 2019
Michael Chico Individual Corporate DirectorChairperson Feb 1, 2018
Charles Wintersteen Individual Corporate DirectorBoard of Directors Nov 1, 2016
Ryan Gadia Individual Corporate OfficerCfo Nov 1, 2018
Marisela Lawson Individual Corporate Director Apr 1, 2019
Luis Gutierrez Individual Corporate DirectorBoard of Directors Sep 26, 2016
Rafael Robles Individual Corporate Director Apr 1, 2021
Carmen Vergara Individual Corporate OfficerCoo Jun 1, 2018
Daniel C Fulwiler Individual Corporate OfficerCeo Jan 18, 2012
W-2 Managing EmployeeCeo Apr 21, 2008

Practitioners & affiliated clinicians

Practitioners 130

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 130

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1124187125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S. CALIFORNIA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082405",
            "telephone_number": "773-584-6132",
            "fax_number": "773-376-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S. CALIFORNIA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082405",
            "telephone_number": "773-584-1635",
            "fax_number": "773-376-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESPERANZA HEALTH CENTERS",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SPREITZER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "773-640-5785"
    },
    "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": "Esperanza California",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.