Active NPI
Dap Health Inc.
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2024
- 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
- Judy Stith
- Title
- Chief Administrative Officer
- Phone
- (607) 323-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
6002989522
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
6002989522
-
dba DAP Health-Centro Medico El Cajon
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1154480069
6002989522
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
6002989522
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
6002989522
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
6002989522
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
6002989522
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
6002989522
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
6002989522
-
dba DBA Stonewall Pharmacy
- Clinic Pharmacy
- Cathedral City, CA
- NPI 1659824837
6002989522
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
6002989522
-
dba DAP Health-Palm Springs Health Center
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1730712183
6002989522
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Infectious Disease Physician
- Palm Springs, CA
- NPI 1568439081
O20100608000193, O20130415000277
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
O20100608000193
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
O20100608000193
-
dba DAP Health-Centro Medico El Cajon
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1154480069
O20100608000193
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
O20100608000193
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
O20100608000193
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
O20100608000193
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
O20100608000193
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
O20100608000193
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
O20100608000193
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
O20100608000193
-
dba DAP Health-Palm Springs Health Center
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1730712183
O20100608000193
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Brinkman | Corporate Officer | Aug 1, 2006 | 100% |
| Patrick Jordan | Corporate Director | Oct 1, 2014 | |
| Frederick Drewette | Corporate Director | Jan 1, 1996 | |
| Gladis Adriana Perez | W-2 Managing Employee | Aug 1, 2023 | |
| Veronica Willimas | Corporate Director | Feb 27, 2024 | |
| Judy Stith | Corporate Officer | Jan 30, 2019 | |
| W-2 Managing Employee | Jan 30, 2019 | ||
| Athalie Lapamuk | Corporate Director | Jan 22, 2019 | |
| Scot Karp | Corporate Director | Jun 1, 2024 | |
| Mark Charles Adams | Corporate Director | Jun 1, 2024 | |
| Kevin Bass | Corporate Director | Jan 15, 2013 | |
| Carolyn Caldwell | Corporate Director | Jan 15, 2013 | |
| Bruce Finch | Corporate Director | Jan 24, 2023 | |
| Karyl Ketchum | Corporate Director | Jan 24, 2023 | |
| Frank Figueroa | Corporate Director | Aug 1, 2023 | |
| Eve Fromberg | Corporate Director | Sep 28, 2021 | |
| Mark Hamilton | Corporate Director | 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.
-
- Nurse Practitioner
- Cathedral City, CA
- NPI 1982003604
-
- Family Medicine Physician
- Cathedral City, CA
- NPI 1174900211
-
- Family Medicine Physician
- Coachella, CA
- NPI 1174010169
-
- Emergency Medicine Physician
- Chula Vista, CA
- NPI 1164414827
-
- Family Medicine Physician
- Escondido, CA
- NPI 1588642847
-
- Internal Medicine Physician
- Cathedral City, CA
- NPI 1326137589
-
- Family Nurse Practitioner
- Cathedral City, CA
- NPI 1275296360
-
- Family Medicine Physician
- Borrego Springs, CA
- NPI 1447280607
-
- Obstetrics & Gynecology Physician
- Desert Hot Springs, CA
- NPI 1437112513
-
- Family Nurse Practitioner
- Cathedral City, CA
- NPI 1679705693
-
- Family Nurse Practitioner
- Coachella, CA
- NPI 1578104360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.