Community Health Systems, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Bloomington, CA
NPI 1487706347 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1487706347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 240000086 (CA)
- Legal business name
- COMMUNITY HEALTH SYSTEMS, INC.
- Practice address
- 18601 Valley Blvd
Bloomington, CA 92316-1831 - Phone
- (909) 546-7520
- Fax
- (909) 877-5468
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Lori Nanette Holeman
- Title
- Ceo
- Phone
- (951) 571-2300
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Practitioners 19
-
Anthony John Bullum, O.D.
-
Herman A Carstens, M.D.
-
Goran Cvijanovic, MD
-
Jenny Huong Le, O.D.
-
Robert Addison McAuley, M.D.
-
Renee Susette Miles, LCSW
-
Anthony Milliron, MD
-
Gabriel Rodarte, MD
-
Jacqueline Aparicio, NURSE PRACTITIONER
-
Steven Wayne Fleek, D.C.
-
Ian William Kirby, FNP
-
Gabriella Odudu, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 051896
- Legal name
- COMMUNITY HEALTH SYSTEMS INC
- Doing business as
- BLOOMINGTON COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 13, 1993
- Last certification
- Sep 13, 1993
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 17, 1984 in CA
- Enrollment address
- 18601 Valley Blvd
Bloomington, CA 92316-1831
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Rodger Lehl |
Corporate Director | Oct 5, 2009 | |
| Draymond Crawford |
Corporate Director | Oct 5, 2009 | |
| W-2 Managing Employee | Oct 5, 2009 | ||
| Vanessa I Ortiz |
W-2 Managing Employee |
Oct 5, 1985 | |
| Yolanda Gomez |
W-2 Managing Employee | Oct 5, 2009 | |
| Oscar Ulric Jones |
Corporate Director | Oct 5, 2009 | |
| Deneen Culberson |
Corporate Director |
Nov 25, 2020 | |
| Jonnathan Barajas |
Corporate Director |
Nov 25, 2020 | |
| Lori Holeman |
Corporate Officer |
Jan 1, 2017 | |
| Corporate Director | Oct 5, 2009 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Magnolia Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2012 |
| University Community Heath Center |
Federally qualified health center | Operational/Managerial Control (100%) | Oct 9, 2025 |
| Bloomington Community Health Center- Building 2 |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 14, 2024 Jun 14, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051117000822 | CA | Part B Supplier - Clinic/Group Practice | 7012824717 |
Receives reassigned benefits from 84 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bloomington, CA; Fallbrook, CA; Moreno Valley, CA; Riverside, CA |
| O20070305000807 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 7012824717 | Practice locations: Bloomington, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 40093 | CA | |
| General Practice Dentistry |
1223G0001X | 46894 | CA | |
| General Practice Dentistry |
1223G0001X | 40996 | CA | |
| Pediatric Dentistry |
1223P0221X | 47987 | CA | |
| Optometrist |
152W00000X | OPT12626TPA | CA | |
| Family Medicine Physician |
207Q00000X | 387455 | CA | |
| Family Medicine Physician |
207Q00000X | A98737 | CA | |
| Family Medicine Physician |
207Q00000X | A110976 | CA | |
| Family Medicine Physician |
207Q00000X | A87726 | CA | |
| Family Medicine Physician |
207Q00000X | 506572 | CA | |
| Family Medicine Physician |
207Q00000X | A1157855 | CA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 240000086 | CA | Yes |
Addresses
Primary practice location
18601 Valley Blvd
Bloomington, CA 92316-1831
Mailing address
7880 Mission Grove Pkwy S
Riverside, CA 92508-6000
Phone (951) 571-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70324F | Medicaid | CA | |
| EAP70324F | Medicaid | CA | |
| HAP70324F | Medicaid | CA | |
| NPI 1487706347 | Medicaid | CA |
Other names
- Bloomington Community Health Center
Other providers in Bloomington, CA
- Alexia Cisneros
- Michele C Clark
- Colton Joint Unified School District
- Community Health Systems, Inc.
- Community Health Systems, Inc.
- Community Health Systems, Inc.
- Veronica Contreras
- Deirdre Cooney
- Natasha Cromwell
- Sandra Cuevas
All providers in Bloomington, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.