Active NPI
Dap Health, Inc.
Doing business as DAP Health-Centro Medico El Cajon
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- DAP HEALTH, INC.
- Doing business as
- DAP Health-Centro Medico El Cajon
- Practice address
- 133 W Main St
El Cajon, CA 92020-3315 - Phone
- (619) 401-0404
- NPI assigned
- Dec 6, 2006
- Last updated
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Stith
- Title
- Chief Administrative Officer
- Phone
- (760) 323-2118
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
133 W Main St
El Cajon, CA 92020-3315
Mailing address
1695 N. Sunrise Way
Palm Springs, CA 92262
Phone (760) 323-2118
Other names 1
- DAP Health-Centro Medico El Cajon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100608000193 | CA | Part B Supplier - Clinic/Group Practice | 6002989522 |
Receives reassigned benefits from 103 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Thermal, CA; San Jacinto, CA; Cathedral City, CA; Palm Springs, CA; Escondido, CA; El Cajon, CA; Desert Hot Springs, CA; Coachella, CA… |
| O20240401002689 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 6002989522 | Practice locations: El Cajon, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1154480069. Details of each certification follow.
Federally qualified health center certification: CCN 051095
- Legal name
- DAP HEALTH INC
- Doing business as
- DAP HEALTH-CENTRO MEDICO EL CAJON
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 14, 2007
- Last certification
- Jun 14, 2007
- Ownership / control type
- For profit – corporation
- Most recent change of ownership
- Jul 1, 2023 (1 total)
- Organization structure
- Corporation
- Incorporated
- Aug 22, 1984 in CA
- Enrollment address
- 133 W Main St
El Cajon, CA 92020-3315
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
6002989522
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
6002989522
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
6002989522
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
6002989522
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
6002989522
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
6002989522
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
6002989522
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
6002989522
-
dba DBA Stonewall Pharmacy
- Clinic Pharmacy
- Cathedral City, CA
- NPI 1659824837
6002989522
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
6002989522
-
dba DAP Health-Palm Springs Health Center
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1730712183
6002989522
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
O20100608000193
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
O20100608000193
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
O20100608000193
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
O20100608000193
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
O20100608000193
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
O20100608000193
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
O20100608000193
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
O20100608000193
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
O20100608000193
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
O20100608000193
-
dba DAP Health-Palm Springs Health Center
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1730712183
O20100608000193
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0915458 | Dap Health - Centro Medico El Cajon | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1121 E Washington Ave
Escondido, CA 92025
Phone (760) 871-0606
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| David Brinkman | Corporate Officer | Aug 1, 2023 | 100% |
| Patrick Jordan | Corporate Director | Aug 1, 2023 | |
| Frederick Drewette | Corporate Director | Aug 1, 2023 | |
| Gladis Adriana Perez | W-2 Managing Employee | Aug 1, 2023 | |
| Veronica Willimas | Corporate Director | Feb 27, 2024 | |
| Judy Stith | Corporate Officer | Aug 1, 2023 | |
| Athalie Lapamuk | Corporate Director | Aug 1, 2023 | |
| Scot Karp | Corporate Director | Jun 1, 2024 | |
| Mark Charles Adams | Corporate Director | Jun 1, 2024 | |
| Kevin Bass | Corporate Director | Aug 1, 2023 | |
| Carolyn Caldwell | Corporate Director | Aug 1, 2023 | |
| Bruce Finch | Corporate Director | Aug 1, 2023 | |
| Karyl Ketchum | Corporate Director | Aug 1, 2023 | |
| Frank Figueroa | Corporate Director | Aug 1, 2023 | |
| Eve Fromberg | Corporate Director | Aug 1, 2023 | |
| Mark Hamilton | Corporate Director | Aug 1, 2023 |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Jul 31, 2023 | Change of Ownership | Centro Medico, El Cajon |
| Jul 31, 2023 | Change of Ownership | Dap Health-Centro Medico El Cajon |
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Family Medicine Physician
- Desert Hot Springs, CA
- NPI 1639522006
-
- Psychiatric/Mental Health Nurse Practitioner
- Cathedral City, CA
- NPI 1629477344
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1427057306
-
- Obstetrics Physician
- El Cajon, CA
- NPI 1063642312
-
- Family Medicine Physician
- Cathedral City, CA
- NPI 1619300761
-
- Adult Health Nurse Practitioner
- San Diego, CA
- NPI 1366958092
-
- Physician Assistant
- El Cajon, CA
- NPI 1104836659
-
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
- NPI 1528565249
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": "1709769600000",
"number": "1154480069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 N. SUNRISE WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92262",
"telephone_number": "760-323-2118",
"fax_number": "619-401-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W MAIN ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203315",
"telephone_number": "619-401-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAP HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "STITH",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "760-323-2118"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DAP Health-Centro Medico El Cajon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.