NPIMap

Organization Active NPI

Camarena Health

Doing business as Almond Campus Medical

  • Obstetrics Physician
  • Madera, CA
National Provider Identifier
1649700618
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
CAMARENA HEALTH
Doing business as
Almond Campus Medical
Practice address
740 E Almond Ave
Madera, CA 93637-5617
Phone
(559) 664-4000
NPI assigned
Jun 13, 2017
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CAMARENA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mr. Paulo A. Soares
Title
Ceo
Phone
(559) 664-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X Primary

Addresses

Primary practice location

740 E Almond Ave
Madera, CA 93637-5617

Mailing address

PO Box 299
Madera, CA 93639-0299
Phone (559) 664-4000

Other names 1

  • Almond Campus Medical Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000523 CA Part B Supplier - Clinic/Group Practice 4880584317 Receives reassigned benefits from 178 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oakhurst, CA; Madera, CA; Fresno, CA; Coarsegold, CA; Chowchilla, CA
O20170929001086 CA Part A Provider - Federally Qualified Health Center (FQHC) 4880584317 Practice locations: Madera, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649700618. Details of each certification follow.

Federally qualified health center certification: CCN 921011

Legal name
CAMARENA HEALTH
Doing business as
ALMOND CAMPUS MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 13, 2017
Last certification
Sep 13, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1978 in CA
Enrollment address
740 E Almond Ave
Madera, CA 93637-5617

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2245963Camarena Health - Almond Campus Medical740 East Almond Avenue, Madera, CA 93637Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Darin M Camarena Health25 organizations share this tax ID, including this one
Part of
Darin M Camarena Health

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

2339 W Cleveland Ave
Ste 103
Madera, CA 93637
Phone (559) 665-0275

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Patty Thompson Individual Corporate DirectorBoard Member Dec 1, 2023
Martha Cardona Individual Corporate DirectorBoard Member Vice President May 23, 2018
Edgar Jimenez Individual Corporate DirectorBoard Member May 23, 2013
Paulo a Soares Individual Corporate OfficerChief Executive Officer Feb 1, 2011 50%
W-2 Managing EmployeeChief Executive Officer Nov 26, 2007 50%
Monic Asenjo-Wilhite Individual Corporate DirectorBoard Member President Dec 1, 2022
Seann Garcia Individual Corporate DirectorBoard Member Nov 1, 2011
Virginia M Lane-Pacheco Individual Corporate DirectorBoard Member Jan 1, 2025
Oracio M Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2025
OtherBoard Member Jan 1, 2025
Abimael Vargas Individual Corporate DirectorBoard Member May 1, 2013
Christine N Howland Individual Corporate OfficerChief Operations Officer Apr 11, 2011 25%
W-2 Managing EmployeeChief Operations Officer Apr 11, 2011 25%
Raquel Rodarte Individual Corporate DirectorBoard Member Secretary Jan 1, 2015
Bruce Alamedia Individual Corporate DirectorBoard Treasurer Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1649700618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936390299",
            "telephone_number": "559-664-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375617",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARENA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMARENA HEALTH",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "PAULO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-664-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almond Campus Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.