Active NPI
Dap Health, Inc.
Doing business as DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- DAP HEALTH, INC.
- Doing business as
- DAP Health-Stonewall Community Health Center
- Practice address
- 68555 Ramon Rd
Cathedral City, CA 92234-3310 - Phone
- (619) 873-3538
- NPI assigned
- Jan 12, 2017
- Last updated
- Aug 13, 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
- (760) 323-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
68555 Ramon Rd
Cathedral City, CA 92234-3310
Mailing address
1695 N. Sunrise Way
Palm Springs, CA 92262
Phone (760) 323-2118
Other names 1
- DAP Health-Stonewall Community Health Center
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 This NPI is an additional NPI on the 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… |
| O20240606004126 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 6002989522 | Practice locations: Cathedral City, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386180404. Details of each certification follow.
Federally qualified health center certification: CCN 921023
- Legal name
- DAP HEALTH INC
- Doing business as
- DAP - STONEWALL COMMUNITY HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 31, 2017
- Last certification
- Oct 31, 2017
- Ownership / control type
- For profit – corporation
- Most recent change of ownership
- Aug 1, 2023 (1 total)
- Organization structure
- Corporation
- Incorporated
- Aug 22, 1984 in CA
- Enrollment address
- 68555 Ramon Rd
Ste 101, 103, 104, 105
Cathedral City, CA 92234-3310
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-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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
O20100608000193
-
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-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 Directory- Tax ID family
- Dap Health Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DAP Health-La Mesa Pediatrics
- Federally Qualified Health Center (FQHC)
- La Mesa, CA
- NPI 1033759311
-
dba DAP Health - Mobile Dental Unit #8
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1104501691
-
dba DAP Health - Centro Medico Mobile Clinic
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1124703616
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
dba DAP Health-Centro Medico Cathedral City-Dental
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1164117859
-
dba Desert Hot Springs Health and Wellness Center
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1184065088
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
-
dba DAP Health - Mobile Unit #4
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1295410785
-
- Home Health Agency
- Palm Springs, CA
- NPI 1336312172
-
dba DAP Health - Centro Medico Cathedral City - Dental
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1336835149
-
dba DAP Health - Mobile Dental Trailer #2
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1346925674
-
dba DAP Health - Mobile Dental Trailer #1
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1366127698
Locations
68555 Ramon Rd
#103
Cathedral City, CA 92234
Phone (760) 507-3310
68555 Ramon Rd
Ste 201207
Cathedral City, CA 92234
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, 2023 | 100% |
| Patrick Jordan | Corporate Director | Aug 1, 2023 | |
| Frederick Drewette | Corporate Director | Aug 1, 2023 | |
| Gladis Adriana Perez | W-2 Managing Employee | Aug 1, 2023 | |
| Veronica Willimas | Corporate Director | Feb 27, 2024 | |
| Judy Stith | Corporate Officer | Aug 1, 2023 | |
| Athalie Lapamuk | Corporate Director | Aug 1, 2023 | |
| Scot Karp | Corporate Director | Jun 1, 2024 | |
| Mark Charles Adams | Corporate Director | Jun 1, 2024 | |
| Kevin Bass | Corporate Director | Aug 1, 2023 | |
| Carolyn Caldwell | Corporate Director | Aug 1, 2023 | |
| Bruce Finch | Corporate Director | Aug 1, 2023 | |
| Karyl Ketchum | Corporate Director | Aug 1, 2023 | |
| Frank Figueroa | Corporate Director | Aug 1, 2023 | |
| Eve Fromberg | Corporate Director | Aug 1, 2023 | |
| Mark Hamilton | Corporate Director | Aug 1, 2023 |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2023 | Change of Ownership | Stonewall Medical Center |
| Aug 1, 2023 | Change of Ownership | Dap - Stonewall Community Health |
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1255109831
-
- Internal Medicine Physician
- Cathedral City, CA
- NPI 1326137589
-
- Women's Health Nurse Practitioner
- Coachella, CA
- NPI 1003390519
-
- Advanced Practice Midwife
- Coachella, CA
- NPI 1902453996
-
- Medical Physician Assistant
- Desert Hot Springs, CA
- NPI 1013568088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1386180404",
"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": "92262",
"telephone_number": "760-323-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68555 RAMON RD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343310",
"telephone_number": "619-873-3538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAP HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-12",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "STITH",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "760-323-2118"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DAP Health-Stonewall Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cathedral City, CA
- Avideh Daneshvar- Mozafari, DDS
- Marco Dangelo
- William E Daniel, APRN, MSN, FNP-BC
- Dap Health, Inc. (DAP Health-Centro Medico Cathedral City-Dental)
- Dap Health, Inc. (DAP Health - Centro Medico Cathedral City - Dental)
- Dap Health, Inc. (DAP Health-Centro Medico Cathedral City-69175 Ramon)
- Dap Health, Inc. (DBA Stonewall Pharmacy)
- Asha Dasika
- David Ting DMD Dental Group (Affordable Dental at Cathedral City)
- Ashley Christina Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.