Organization Active NPI

Dap Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Palm Springs, CA
National Provider Identifier
1306464326
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DAP HEALTH INC.
Practice address
1695 N Sunrise Way Ste 201-204
Palm Springs, CA 92262-3701
Phone
(760) 323-2118
Fax
(760) 416-1651
NPI assigned
Jul 7, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Judy Stith
Title
Chief Administrative Officer
Phone
(607) 323-2118

Specialties & licenses 1

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

Addresses

Primary practice location

1695 N Sunrise Way Ste 201-204
Palm Springs, CA 92262-3701

Mailing address

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100608000193 CA Part B Supplier - Clinic/Group Practice 6002989522 Receives reassigned benefits from 103 practitioners
16 other NPIs on this enrollment
Practice locations: Thermal, CA; San Jacinto, CA; Cathedral City, CA; Palm Springs, CA; Escondido, CA; El Cajon, CA; Desert Hot Springs, CA; Coachella, CA…
O20130415000277 CA Part A Provider - Federally Qualified Health Center (FQHC) 6002989522 1 other NPI on this enrollment
Practice locations: Palm Springs, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306464326. Details of each certification follow.

Federally qualified health center certification: CCN 751004

Legal name
DAP HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 15, 2013
Last certification
Apr 15, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 1984 in CA
Enrollment address
1695 N Sunrise Way
Palm Springs, CA 92262-3701

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1695 N Sunrise Way
Ste 201203
Palm Springs, CA 92262

1695 N Sunrise Way
Ste 201204
Palm Springs, CA 92262

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
David Brinkman Individual Corporate OfficerCeo Aug 1, 2006 100%
Patrick Jordan Individual Corporate DirectorChair Oct 1, 2014
Frederick Drewette Individual Corporate DirectorTreasurer Jan 1, 1996
Gladis Adriana Perez Individual W-2 Managing EmployeeLicense & Program Enrollment Spec Aug 1, 2023
Veronica Willimas Individual Corporate DirectorMember Feb 27, 2024
Judy Stith Individual Corporate OfficerChief Administrative Officer Jan 30, 2019
W-2 Managing Employee Jan 30, 2019
Athalie Lapamuk Individual Corporate DirectorMember Jan 22, 2019
Scot Karp Individual Corporate DirectorMember Jun 1, 2024
Mark Charles Adams Individual Corporate DirectorMember Jun 1, 2024
Kevin Bass Individual Corporate DirectorVice Co-Chair Jan 15, 2013
Carolyn Caldwell Individual Corporate DirectorMember Jan 15, 2013
Bruce Finch Individual Corporate DirectorMember Jan 24, 2023
Karyl Ketchum Individual Corporate DirectorMember Jan 24, 2023
Frank Figueroa Individual Corporate DirectorMember Aug 1, 2023
Eve Fromberg Individual Corporate DirectorVice Co-Chair Sep 28, 2021
Mark Hamilton Individual Corporate DirectorSecretary Oct 1, 2015

Practitioners & affiliated clinicians

Practitioners 104

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 104

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1306464326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623701",
            "telephone_number": "760-323-2118",
            "fax_number": "760-416-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY STE 201-204",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623701",
            "telephone_number": "760-323-2118",
            "fax_number": "760-416-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAP HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "STITH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "607-323-2118"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.