Organization Active NPI

Ole Health

Doing business as CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • West Sacramento, CA
National Provider Identifier
1144687955
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550002588 Issued in CA
Legal business name
OLE HEALTH
Doing business as
CommuniCare OLE
Practice address
3680 Industrial Blvd Ste 100
West Sacramento, CA 95691-6504
Phone
(916) 228-3378
NPI assigned
Jan 25, 2016
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Rose Macisaac
Title
Cfo
Phone
(760) 767-6435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550002588 CA Primary

Addresses

Primary practice location

3680 Industrial Blvd Ste 100
West Sacramento, CA 95691-6504

Mailing address

PO Box 1260
Davis, CA 95617-1260
Phone (530) 753-3498

Other names 1

  • CommuniCare OLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ole Health22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

3680 Industrial Blvd
Ste 100
West Sacramento, CA 95691
Phone (916) 228-3378

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1144687955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956171260",
            "telephone_number": "530-753-3498",
            "fax_number": "530-758-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 INDUSTRIAL BLVD STE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916504",
            "telephone_number": "916-228-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MACISAAC",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-767-6435"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550002588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniCare OLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.