NPIMap

Organization Active NPI

Camarena Health

  • Urgent Care Clinic/Center
  • Madera, CA
National Provider Identifier
1194279554
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAMARENA HEALTH
Practice address
720 E Almond Ave
Madera, CA 93637-5691
Phone
(559) 664-4000
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CAMARENA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Paulo A. Soares
Title
Ceo
Phone
(559) 664-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

720 E Almond Ave
Madera, CA 93637-5691

Mailing address

720 E Almond Ave
Madera, CA 93637-5691
Phone (559) 664-4000

Other names 1

  • Camarena Health-Urgent Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000523 CA Part B Supplier - Clinic/Group Practice 4880584317 Receives reassigned benefits from 178 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oakhurst, CA; Madera, CA; Fresno, CA; Coarsegold, CA; Chowchilla, CA
O20170327001125 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Madera, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194279554. Details of each certification follow.

Federally qualified health center certification: CCN 751956

Legal name
CAMARENA HEALTH
Doing business as
ALMOND CAMPUS SENIOR CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 6, 2017
Last certification
Mar 6, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1978 in CA
Enrollment address
720 E Almond Ave
Madera, CA 93637-5691

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Darin M Camarena HLTH C26 organizations share this tax ID, including this one
Part of
Darin M Camarena HLTH C

Other organizations with this tax ID 25

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

View all 25

Locations

760 E Almond Ave
Madera, CA 93637

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
Patty Thompson Individual Corporate DirectorBoard Member Oct 10, 2016
Martha Cardona Individual Corporate DirectorBoard Vice-President May 23, 2018
Edgar Jimenez Individual Corporate DirectorBoard Member Oct 10, 2016
Paulo a Soares Individual Corporate OfficerChief Executive Officer Oct 10, 2016 50%
W-2 Managing EmployeeChief Executive Officer Nov 26, 2007 50%
Monic Asenjo-Wilhite Individual Corporate DirectorBoard President Oct 10, 2016
Seann Garcia Individual Corporate DirectorBoard Member Oct 10, 2016
Virginia M Lane-Pacheco Individual Corporate DirectorBoard Member Jan 1, 2025
Oracio M Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025
Abimael Vargas Individual Corporate DirectorBoard Member Oct 10, 2016
Christine N Howland Individual Corporate OfficerChief Operations Officer Apr 11, 2011 25%
W-2 Managing EmployeeAd; Oct 10, 2016 25%
Raquel Rodarte Individual Corporate DirectorBoard Secretary Oct 10, 2016
Bruce Alamedia Individual Corporate DirectorBoard Treasurer Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1194279554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375691",
            "telephone_number": "559-664-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375691",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMARENA HEALTH",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "PAULO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-664-4000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarena Health-Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.