Saint Youstina

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SAINT YOUSTINA

Practice address

2200 Harbor Blvd Ste B240
Costa Mesa, CA 92627-5875

Phone

(714) 290-6269

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Beshay, MDNPI 1962434241

Title

Ceo/Cmo

Phone

(714) 290-6269

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Federally qualified health center certification: CCN A01195

Legal name

SAINT YOUSTINA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 18, 2023

Last certification

Sep 18, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 9, 2015 in CA

Enrollment address

2200 Harbor Blvd
Ste B240
Costa Mesa, CA 92627-5875

Other NPIs with the same Medicare PAC ID 1

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

• Saint Youstina

  dba St Youstina Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1740822360

  0840628855

  Same PAC ID

Locations

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

• Isaac N Beshay, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1962434241

  Corporate Officer

  CMS ownership
• Saint Youstina

  dba St Youstina Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1740822360

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Saint Youstina

  dba St Youstina Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1740822360

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 1

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

• Saint Youstina

  dba St Youstina Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1740822360

  Saint Youstina

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac N Beshay, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1962434241
  NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1144937350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD STE 240",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501",
            "telephone_number": "714-290-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD STE B240",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275875",
            "telephone_number": "714-290-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT YOUSTINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BESHAY",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "714-290-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4360542",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Next-Gen",
            "affiliation": "N",
            "address_1": "2200 Harbor Blvd Ste B240",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926275875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Farshad Saghatchi, D.D.S.
• Sahawneh Dental Corporation (Bright Now Dental - Costa Mesa)
• Shorouq Sameer Sahawneh, D.D.S
• Lily Said
• Mannat Kaur Saini, MD
• Emily Elizabeth Sainz
• Marwah Sakaamini
• Emi Joelle Sakamoto
• Natalie Sakamoto, CNMT, BCTMB
• Sabrina Rosalie Salais

• Federally Qualified Health Center (FQHC) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.