NPIMap

Organization Active NPI

Operation Samahan, Inc.

Doing business as Operation Samahan Community Health Center

  • Community Health Clinic/Center
  • National City, CA
National Provider Identifier
1275617169
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
550000148 Issued in CA
Legal business name
OPERATION SAMAHAN, INC.
Doing business as
Operation Samahan Community Health Center
Practice address
2835 Higland Ave.
National City, CA 91950-7412
Phone
(844) 200-2426
Fax
(619) 356-2726
NPI assigned
Oct 25, 2006
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Archie Bella, MDNPI 1487098497
Title
Ceo/Cmo
Phone
(844) 200-2426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 550000148 CA Primary

Addresses

Primary practice location

2835 Higland Ave.
National City, CA 91950-7412

Mailing address

1428 Highland Avenue
National City, CA 91950-4624
Phone (844) 200-2426

Other identifiers 1

IdentifierTypeStateIssuer
CMM71117FMedicaidCA

Other names 1

  • Operation Samahan Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051001000054 CA Part B Supplier - Clinic/Group Practice 7911932645 Receives reassigned benefits from 42 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; National City, CA

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

2101 Granger Ave
#101A
National City, CA 91950

2101 Granger Ave
Ste 101A
National City, CA 91950

2835 Highland Ave
National City, CA 91950
Phone (209) 683-5640

2835 Highland Ave
Ste A
National City, CA 91950
Phone (618) 474-5567

2835 Highland Ave
Ste B
National City, CA 91950

5296 University Ave
Ste F1
San Diego, CA 92105
Phone (619) 229-6725

9855 Erma Rd
Ste 105
San Diego, CA 92131
Phone (619) 271-1151

9855 Erma Rd
Ste 105106
San Diego, CA 92131

9955 Carmel Mountain Rd
Ste F2
San Diego, CA 92129
Phone (858) 312-6700

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1275617169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVENUE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HIGLAND AVE.",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507412",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION SAMAHAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "BELLA",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "844-200-2426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71117F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Operation Samahan Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Operation Samahan Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.