NPIMap

Organization Active NPI

Camino Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake Forest, CA
National Provider Identifier
1194274811
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
060000060 Issued in CA
Legal business name
CAMINO HEALTH CENTER
Practice address
22481 Aspan St Ste a
Lake Forest, CA 92630-1630
Phone
(949) 240-2030
Fax
(949) 429-7627
NPI assigned
Sep 22, 2016
Organization subpart
Yes
Parent organization
CAMINO HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Jeremy Elkins
Title
Ceo
Phone
(949) 240-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 060000060 CA Primary

Addresses

Primary practice location

22481 Aspan St Ste a
Lake Forest, CA 92630-1630

Mailing address

31351 Rancho Viejo Rd Ste 201
San Juan Capistrano, CA 92675-1858
Phone (949) 240-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170421001374 CA Part A Provider - Federally Qualified Health Center (FQHC) 2264480292 Practice locations: Lake Forest, CA

Federally qualified health center certification: CCN 751962

Legal name
CAMINO HEALTH CENTER
Doing business as
CAMINO HEALTH CENTER LAKE FOREST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 3, 2017
Last certification
Mar 3, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1992 in CA
Enrollment address
22481 Aspan St
Lake Forest, CA 92630-1630

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Camino Health Center2 organizations share this tax ID, including this one
Part of
Camino Health Center

Other organizations with this tax ID 1

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

Locations

22481 Aspan St
Lake Forest, CA 92630
Phone (949) 240-2030

22481 Aspan St
Ste A
Lake Forest, CA 92630
Phone (949) 240-2030

30300 Camino Capistrano
San Juan Capo, CA 92675
Phone (949) 240-2030

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Elaine Castaneda Individual Corporate DirectorBoard Member Nov 1, 2021
Mary Foley Individual Corporate DirectorBoard Member Nov 1, 2018
Claudia Montes Individual Corporate DirectorBoard Member Nov 1, 2018
Horacio Hernandez Individual Corporate DirectorBoard Member Dec 1, 2016
Camino Health Center Organization, San Juan Capistrano, CA Corporation, Non-profit Operational/Managerial Control Jun 30, 1992 100%
Jeremy D Elkins Individual Corporate Officer Oct 31, 2022
W-2 Managing EmployeeCeo Oct 31, 2022
Paul Caceres Individual Corporate OfficerCfo Mar 18, 2013
W-2 Managing EmployeeCfo Mar 18, 2013
Sergio Rodas Individual Corporate OfficerCmo Dec 1, 1997
W-2 Managing EmployeeCmo Dec 1, 1997
Carol Halesworth Individual Corporate DirectorBoard Member Nov 1, 2014
Melody Vise Individual Corporate DirectorBoard Member Nov 9, 2010
Seth R Teigen Individual Corporate DirectorBoard Member Oct 15, 2020
Susan Hoffnagle Individual Corporate DirectorBoard Member Nov 1, 2014
Melanie de Leon Individual Corporate DirectorBoard Member Oct 21, 2021
Brenda Julian Individual Corporate DirectorBoard Member Nov 1, 2015

Owners & managing parties with NPI records 2

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1194274811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31351 RANCHO VIEJO RD STE 201",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751858",
            "telephone_number": "949-240-2030",
            "fax_number": "949-429-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22481 ASPAN ST STE A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301630",
            "telephone_number": "949-240-2030",
            "fax_number": "949-429-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMINO HEALTH CENTER",
        "enumeration_date": "2016-09-22",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-240-2030"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "060000060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.