NPIMap

Organization Active NPI

County of Monterey

Doing business as Bienestar

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1376956268
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF MONTEREY
Doing business as
Bienestar
Practice address
1441 Constitution Blvd BLDG 400
Suite 201
Salinas, CA 93906-3100
Phone
(831) 796-1386
NPI assigned
Jun 9, 2014
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEREY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Julia Claire Edgcomb
Title
Director/Coo Clinic Services Div.
Phone
(831) 796-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

1441 Constitution Blvd BLDG 400
Suite 201
Salinas, CA 93906-3100

Mailing address

1441 Schilling Place
South BLDG Floor 1
Salinas, CA 93901-4527
Phone (831) 796-1308

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ02040ZOtherCAPTAN

Other names 1

  • Bienestar Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712001287 CA Part B Supplier - Clinic/Group Practice 2466345632 Receives reassigned benefits from 94 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marina, CA; Salinas, CA; Seaside, CA
O20141029002592 CA Part A Provider - Federally Qualified Health Center (FQHC) 2466345632 Practice locations: Salinas, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376956268. Details of each certification follow.

Federally qualified health center certification: CCN 751099

Legal name
COUNTY OF MONTEREY
Doing business as
BIENESTAR
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2014
Last certification
Oct 20, 2014
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
1441 Constitution Blvd
BLDG 400 Ste 201
Salinas, CA 93906-3127

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Natividad Med Ctr Surg84 organizations share this tax ID, including this one
Part of
Natividad Med Ctr Surg

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1441 Constitution Blvd
Ste 201
Salinas, CA 93906
Phone (831) 796-1626

1156 Fremont Blvd
Seaside, CA 93955
Phone (831) 333-6495

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
County of Monterey Organization, Salinas, CA Operational/Managerial Control Oct 7, 2013
Shenna R Morales Individual Corporate DirectorInterim Project Director Jan 4, 2020 5%
W-2 Managing Employee Sep 30, 2014

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Natividad Medical CenterSalinas, CA, CCN 050248 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 29, 2014
Jan 29, 2014
Natividad Medical CenterSalinas, CA, CCN 05T248 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 29, 2014
Jan 29, 2014
Laurel Family PracticeSalinas, CA, CCN 551003 Federally qualified health center Operational/Managerial Control May 12, 2015
Laurel ClinicsSalinas, CA, CCN 551002 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Laurel Pediatric ClinicSalinas, CA, CCN 551001 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 10, 2009
Monterey County Health Clinic at MarinaMarina, CA, CCN 051198 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Seaside Family Health CenterSeaside, CA, CCN 051197 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Alisal Health CenterSalinas, CA, CCN 051199 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Monterey Integrated Health ClinicMarina, CA, CCN 751098 Federally qualified health center Operational/Managerial Control Sep 16, 2013
Laurel VistaSalinas, CA, CCN 751161 Federally qualified health center Operational/Managerial Control May 12, 2015
Nido ClinicSalinas, CA, CCN 921810 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2020
County of MontereySalinas, CA, CCN A01899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2024

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Monterey

    dba Laurel Vista

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1033596911

    Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Internal Medicine

    • Internal Medicine Physician
    • Salinas, CA
    • NPI 1043262959

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba NIDO Clinic

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1134765381

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Natividad Medical Center

    • General Acute Care Hospital
    • Salinas, CA
    • NPI 1205863255

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Pediatric Clinic

    • Pediatrics Physician
    • Salinas, CA
    • NPI 1457303356

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Integrated Health Center

    • Federally Qualified Health Center (FQHC)
    • Salinas, CA
    • NPI 1508629171

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Monterey County Health Clinic at Marina

    • Family Medicine Physician
    • Marina, CA
    • NPI 1588617955

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Health Center

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1699726786

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Laurel Family Practice

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1740232644

    Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Seaside Family Health Ctr

    • Family Medicine Physician
    • Seaside, CA
    • NPI 1881645158

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Monterey County Integrated Health Clinic

    • Family Medicine Physician
    • Marina, CA
    • NPI 1912310855

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1376956268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SCHILLING PLACE",
            "address_2": "SOUTH BLDG FLOOR 1",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014527",
            "telephone_number": "831-796-1308",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD BLDG 400",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-796-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEREY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "EDGCOMB",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR/COO CLINIC SERVICES DIV.",
        "authorized_official_telephone_number": "831-796-1386"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ02040Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bienestar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bienestar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.