Active NPI
Delaware Valley Community Health, Inc.
Doing business as Maria de los Santos Express Care
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- DELAWARE VALLEY COMMUNITY HEALTH, INC.
- Doing business as
- Maria de los Santos Express Care
Maria de los Santos Vision, Foot, and Specialty Services - Practice address
- 400 W Allegheny Ave BLDG 3
Philadelphia, PA 19133-3614 - Phone
- (215) 546-7501
- Fax
- (215) 546-7502
- NPI assigned
- Jul 30, 2021
- Last updated
- Aug 31, 2026
- 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
- Ms. Brenda Robles Cooke
- Title
- President & Ceo
- Phone
- (215) 684-5344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
400 W Allegheny Ave BLDG 3
Philadelphia, PA 19133-3614
Mailing address
1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (215) 684-5344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007729960033 | Medicaid | PA |
Other names 2
- Maria de los Santos Express Care
- Maria de los Santos Vision, Foot, and Specialty Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040617001033 | PA | Part B Supplier - Clinic/Group Practice | 8426967175 |
Receives reassigned benefits from 108 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA |
| O20211004000485 | PA | Part A Provider - Federally Qualified Health Center (FQHC) | 8426967175 | Practice locations: Philadelphia, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326711722. Details of each certification follow.
Federally qualified health center certification: CCN 731912
- Legal name
- DELAWARE VALLEY COMMUNITY HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 2, 2021
- Last certification
- Sep 2, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jul 30, 1977 in PA
- Enrollment address
- 400 W Allegheny Ave
BLDG 3
Philadelphia, PA 19133-3614
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Maria de los Santos Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1114940582
8426967175
-
dba Norristown Regional Health Center
- Federally Qualified Health Center (FQHC)
- Norristown, PA
- NPI 1174545115
8426967175
-
dba Maria de los Santos Women's Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1225536568
8426967175
-
dba Maria de los Santos at COMHAR
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
8426967175
-
dba Fairmount Primary Care Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285699686
8426967175
-
dba Fairmount Primary Care Center at Sharon Hill-Delaware County
- Federally Qualified Health Center (FQHC)
- Sharon Hill, PA
- NPI 1295279644
8426967175
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
8426967175
-
dba Fairmount Primary Care Center at Girard Medical Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1538619333
8426967175
-
dba Parkview Women and Children's Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689873911
8426967175
-
dba Fairmount Primary Care Health Center at Horizon House
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1811202153
8426967175
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
O20040617001033
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2226737 | Maria de Los Santos Express Care | Provider-performed microscopy | Jun 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Philadelphia HLTH Serv
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Philadelphia, PA
- NPI 1881854578
-
dba Maria de los Santos Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1114940582
-
dba Norristown Regional Health Center
- Federally Qualified Health Center (FQHC)
- Norristown, PA
- NPI 1174545115
-
dba Maria de los Santos Women's Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1225536568
-
dba Maria de los Santos at COMHAR
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
-
dba Fairmount Primary Care Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285699686
-
dba Fairmount Primary Care Center at Sharon Hill-Delaware County
- Federally Qualified Health Center (FQHC)
- Sharon Hill, PA
- NPI 1295279644
-
dba Fairmount Primary Care Center at Girard Medical Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1538619333
-
dba Parkview Women and Children's Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689873911
-
dba Fairmount Primary Care Health Center at Horizon House
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1811202153
-
dba Maria Center Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1962206359
Locations
1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Alvan Scott McNeal | Corporate Officer | Jan 1, 2019 | |
| W-2 Managing Employee | Oct 11, 1993 | ||
| Carla M Wimbush | Corporate Officer | Aug 1, 1995 | |
| W-2 Managing Employee | Aug 1, 1995 | ||
| Nilsa Gonzalez | Corporate Director | Nov 1, 1993 | |
| Rick Beaton | Corporate Director | Aug 1, 2021 | |
| William Aaronson | Corporate Director | Apr 1, 1995 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1083616882
Corporate Officer, W-2 Managing Employee
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Norristown Regional Health Center | Federally qualified health center | Operational/Managerial Control | Oct 1, 1999 |
| Delaware Valley Community Health, Inc. | Federally qualified health center | Operational/Managerial Control | Aug 30, 1977 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Norristown Regional Health Center
- Federally Qualified Health Center (FQHC)
- Norristown, PA
- NPI 1174545115
Operational/Managerial Control
-
dba Maria de los Santos Women's Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1225536568
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 30
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.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1568274355
-
- Physician Assistant
- Philadelphia, PA
- NPI 1740440031
-
- Physician Assistant
- Philadelphia, PA
- NPI 1679348205
-
- Medical Physician Assistant
- Philadelphia, PA
- NPI 1174640502
-
- Adult Medicine Physician
- Philadelphia, PA
- NPI 1184837874
-
- Physician Assistant
- Philadelphia, PA
- NPI 1568865749
-
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1386354876
-
- Physician Assistant
- Norristown, PA
- NPI 1053529693
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1861819674
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1356198162
-
- Obstetrics & Gynecology Physician
- Philadelphia, PA
- NPI 1265847644
-
- Medical Physician Assistant
- Philadelphia, PA
- NPI 1265188288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1326711722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-684-5344",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W ALLEGHENY AVE BLDG 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333614",
"telephone_number": "215-546-7501",
"fax_number": "215-546-7502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "ROBLES COOKE",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "215-684-5344",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007729960033",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "400 W Allegheny Ave Bldg 3",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191333614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Maria de los Santos Express Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Maria de los Santos Vision, Foot, and Specialty Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- Delaware Valley Community Health, Inc. (Fairmount Primary Care Center at St. Joseph's Hospital)
- Delaware Valley Community Health, Inc. (Maria de los Santos Health Center)
- Delaware Valley Community Health, Inc. (Maria de los Santos Women's Health Center)
- Delaware Valley Community Health, Inc. (Maria de los Santos at COMHAR)
- Delaware Valley Community Health, Inc. (Fairmount Primary Care Center)
- Delaware Valley Community Health, Inc.
- Delaware Valley Community Health, Inc. (Fairmount Primary Care Center at Girard Medical Center)
- Delaware Valley Community Health, Inc. (Parkview Women and Children's Health Center)
- Delaware Valley Community Health, Inc. (Fairmount Primary Care Health Center at Horizon House)
- Delaware Valley Community Health, Inc. (Maria Center Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.