Organization Active NPI

Octacare Health Services Inc

  • General Practice Physician
  • Upland, CA
National Provider Identifier
1659260958
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OCTACARE HEALTH SERVICES INC
Practice address
1126 W Foothill Blvd Ste 158
Upland, CA 91786-3768
Phone
(866) 883-6282
NPI assigned
Jul 1, 2025
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Gidomer E Francia
Title
Ceo
Phone
(866) 883-6282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU

Addresses

Primary practice location

1126 W Foothill Blvd Ste 158
Upland, CA 91786-3768

Mailing address

1126 W Foothill Blvd Ste 158
Upland, CA 91786-3768
Phone (866) 883-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250807002344 CA Part B Supplier - Clinic/Group Practice 2466950670 Receives reassigned benefits from 8 practitioners
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Locations

23942 Lyons Ave
Ste 215
Newhall, CA 91321
Phone (866) 883-6282

Practitioners & affiliated clinicians

Practitioners 8

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": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1659260958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD STE 158",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863768",
            "telephone_number": "866-883-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD STE 158",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863768",
            "telephone_number": "866-883-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTACARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "FRANCIA",
        "authorized_official_first_name": "GIDOMER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-883-6282"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.