NPIMap

Organization Active NPI

Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
National Provider Identifier
1669258612
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SHARE OUR SELVES CORPORATION
Practice address
2045 Meyer PL Unit C
Costa Mesa, CA 92627-2967
Phone
(949) 270-2100
NPI assigned
Sep 6, 2023
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Christy Ward
Title
Ceo
Phone
(949) 536-3927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

2045 Meyer PL Unit C
Costa Mesa, CA 92627-2967

Mailing address

20151 SW Birch St Ste 100
Newport Beach, CA 92660-1794
Phone (949) 270-2100

Other names 1

  • Share Our Selves at the BESST Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118000683 CA Part A Provider - Federally Qualified Health Center (FQHC) 4789854993 Practice locations: Costa Mesa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669258612. Details of each certification follow.

Federally qualified health center certification: CCN A01907

Legal name
SHARE OUR SELVES CORPORATION
Doing business as
SHARE OURSELVES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 22, 2024
Last certification
Dec 22, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 16, 1978 in CA
Enrollment address
2045 Meyer PL
Unit C
Costa Mesa, CA 92627-2967

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Share Our Selves Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2045 Meyer Pl
Unit C
Costa Mesa, CA 92627
Phone (949) 515-6725

1 Purpose Dr
Lake Forest, CA 92630
Phone (949) 270-2107

1010 N Broadway
Santa Ana, CA 92701

331 W Halesworth St
Santa Ana, CA 92701
Phone (949) 270-0210

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Nicole Machado Individual Corporate OfficerChief Compliance Officer Mar 1, 2021
W-2 Managing EmployeeChief Compliance Officer Mar 1, 2021
Ernest W Klatte Individual Corporate DirectorBoard Member Jun 6, 2013
Share Our Selves Corporation Organization, Costa Mesa, CA Corporation, Non-profit Other Sep 6, 2023 100%
Susan Epstein Individual Corporate DirectorBoard Member Jul 8, 2013
Gwyn P Parry Individual Corporate DirectorBoard Member Jun 16, 2013
Christy Ward Individual Corporate OfficerChief Executive Officer Sep 3, 2019
W-2 Managing EmployeeChief Executive Officer Sep 3, 2019

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Share Our Selves Children and Family Health CenterNewport Beach, CA, CCN 751856 Federally qualified health center Other (100%) Feb 1, 2016
Sos-El Sol Wellness CenterSanta Ana, CA, CCN 751858 Federally qualified health center Other (100%) Feb 2, 2016

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1669258612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601794",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MEYER PL UNIT C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272967",
            "telephone_number": "949-270-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE OUR SELVES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-536-3927"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Share Our Selves at the BESST Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Share Our Selves at the BESST Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.