Active NPI
Ole Health
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- OLE HEALTH
- Practice address
- 1313 Travis Blvd Ste a
Fairfield, CA 94533-4621 - Phone
- (707) 254-1770
- NPI assigned
- Jan 27, 2025
- Last updated
- Jan 27, 2025
- 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
- Rose Macisaac
- Title
- Chief Financial Officer
- Phone
- (619) 306-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1313 Travis Blvd Ste a
Fairfield, CA 94533-4621
Mailing address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040427001735 | CA | Part B Supplier - Clinic/Group Practice | 7315934767 |
Receives reassigned benefits from 134 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Napa, CA; Saint Helena, CA; Fairfield, CA; Calistoga, CA; American Canyon, CA |
| O20260109002932 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 7315934767 | Practice locations: Fairfield, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245043165. Details of each certification follow.
Federally qualified health center certification: CCN A11028
- Legal name
- OLE HEALTH
- Doing business as
- OLE HEALTH (COMMUNICARE+OLE TRAVIS)
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 5, 2026
- Last certification
- Jan 5, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 1313 Travis Blvd
Ste a
Fairfield, CA 94533-4621
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Woodland, CA
- NPI 1558469064
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1710087515
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1881330579
7315934767
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- American Canyon, CA
- NPI 1508573379
O20040427001735
National Provider Directory
National Provider Directory- Tax ID family
- Ole Health
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CommuniCare OLE
- Adolescent and Children Mental Health Clinic/Center
- Woodland, CA
- NPI 1073006607
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1144687955
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1275257826
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
-
dba CommuniCare Family Wellness Center - Unity Building
- Community/Behavioral Health Agency
- Woodland, CA
- NPI 1366091191
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1447687330
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1497130280
-
- Federally Qualified Health Center (FQHC)
- American Canyon, CA
- NPI 1508573379
Locations
1327 Berry St
Calistoga, CA 94515
Phone (707) 254-1775
1500 Cedar St
Calistoga, CA 94515
Phone (707) 484-6986
1301 4th St
Napa, CA 94559
Phone (707) 259-8133
2277 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 256-7780
2344 Old Sonoma Rd
#B
Napa, CA 94559
Phone (707) 265-8785
2741 Napa Valley Corporate Dr
Ste 1100
Napa, CA 94558
Phone (707) 265-8785
2751 Napa Valley Corporate Dr
Ste 1100
Napa, CA 94558
Phone (707) 265-8785
780 Lincoln Ave
Napa, CA 94558
Phone (707) 251-9432
661 Main St
Saint Helena, CA 94574
Phone (707) 963-0931
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Peter Richmond | Corporate Director | Jul 1, 2021 | |
| Deborah Goodin | Corporate Director | Jun 1, 2021 | |
| Arthur Roosa | Corporate Director | Jun 1, 2019 | |
| Cephas Mugerwa | Corporate Director | Jun 1, 2021 | |
| Andrew Torge | Corporate Officer | Jun 19, 2017 | |
| W-2 Managing Employee | Jun 19, 2017 | ||
| Rosemarie Bautista Macisaac | Corporate Officer | Jun 5, 2023 | |
| W-2 Managing Employee | Jun 5, 2023 | ||
| Alicia F Hardy | Corporate Officer | Jan 9, 2018 | |
| W-2 Managing Employee | Mar 2, 2009 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ole Health | Federally qualified health center | Operational/Managerial Control (100%) | Sep 14, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 138
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.
-
- Physician Assistant
- Fairfield, CA
- NPI 1124053483
-
- Family Nurse Practitioner
- Fairfield, CA
- NPI 1790358257
-
- Psychiatry Physician
- Napa, CA
- NPI 1063806743
-
- Marriage & Family Therapist
- West Sacramento, CA
- NPI 1497321020
-
- Physician Assistant
- Woodland, CA
- NPI 1104537968
-
- Pediatrics Physician
- Orinda, CA
- NPI 1538521224
-
- Family Nurse Practitioner
- Napa, CA
- NPI 1336597004
-
- Family Medicine Physician
- Calistoga, CA
- NPI 1366427064
-
- Clinical Social Worker
- Napa, CA
- NPI 1396362984
-
- Clinical Social Worker
- Fairfield, CA
- NPI 1124623236
-
- Registered Dietitian
- Napa, CA
- NPI 1104556661
-
- Family Medicine Physician
- Calistoga, CA
- NPI 1477553675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1245043165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 TRAVIS BLVD STE A",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334621",
"telephone_number": "707-254-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "MACISAAC",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "619-306-2284"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.