Ole Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Fairfield, CA
NPI 1245043165 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1245043165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- 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
- Organization subpart
- No
Authorized official
- Name
- Rose Macisaac
- Title
- Chief Financial Officer
- Phone
- (619) 306-2284
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 10
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 21
Practitioners 139
-
Robin A McIntyre, FNP
-
Alfredo Ovalle, M.D.
-
Marikit B Parker, MD
-
Georgina A Samuel, PA-C
-
Arianna Maria Sousa, LCSW
-
Ariane Heather Watson, LCSW
-
Joy Amanda Moverley, MPH, PA-C
-
Mara Adelman, PHYSICIANS ASST PA
-
Linsey Suzanne Aguigam-Leach, FNP-C
-
Angel Aguilera, MD
-
Thomas Clark Andrews, LMFT
-
Mayra Perez Avina, FNP
-
Jamie Bongiovi, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
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 · Non-profit
- Enrollment address
- 1313 Travis Blvd
Ste a
Fairfield, CA 94533-4621
All disclosed owners & managing parties 7
| 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
| Facility | Type | Role | Since |
|---|---|---|---|
| Ole Health |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 14, 2018 |
Medicare enrollment records
| 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 |
National Provider Directory
- Tax ID family
- Ole Health
Locations
1500 Cedar St
Calistoga, CA 94515
Phone (707) 484-6986
1327 Berry St
Calistoga, CA 94515
Phone (707) 254-1775
1313 Travis Blvd
Ste A
Fairfield, CA 94533
Phone (707) 251-1177
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
100 Hartle Ct
Napa, CA 94559
Phone (707) 253-6100
2344 Old Sonoma Rd
#B
Napa, CA 94559
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
954 Sacramento Ave
West Sacramento, CA 95605
Phone (916) 373-1495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
Other providers in Fairfield, CA
- Nancy M Ohama
- Ohana Eyecare Inc.
- Chidale Ohara
- Rhussel Jerome Ojibway
- Imarhia Okhomina
- Ole Health
- Ole Health
- Karen Marie Oliveira
- Emily Oliver
- Robert Thomas Oliver Sr.
All providers in Fairfield, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.