El Dorado County Community Health Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EL DORADO COUNTY COMMUNITY HEALTH CENTER

Doing business as

El Dorado Community Pharmacy

Practice address

3104 Ponte Morino Dr Ste 100
Cameron Park, CA 95682-8282

Phone

(530) 556-2007

Fax

(530) 350-6331

NPI assigned

May 19, 2016

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Stein

Title

Cfo

Phone

(530) 748-2327

Specialties & licenses 2

Addresses

Other names 1

• El Dorado Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Imgrx Salud Inc

  dba Salud Clinic Pharmacy

  • Community/Retail Pharmacy
  • West Sacramento, CA
  • NPI 1700246360

  O20250401001450

  Same enrollment

Tax ID family

Imgrx Salud Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Imgrx Salud Inc

  dba Salud Clinic Pharmacy

  • Community/Retail Pharmacy
  • West Sacramento, CA
  • NPI 1700246360
  NPD tax ID

Locations

Practitioners 2

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.

• Dennis Kevin Caskey, LCSW

  • Clinical Social Worker
  • Cameron Park, CA
  • NPI 1811279664
  NPD
• Lyah Alexandra Castleberry

  • Medical Physician Assistant
  • Placerville, CA
  • NPI 1477300978
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1669829628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PONTE MORINO DR STE 100",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828282",
            "telephone_number": "530-556-2007",
            "fax_number": "530-350-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 PONTE MORINO DR STE 100",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828282",
            "telephone_number": "530-556-2007",
            "fax_number": "530-350-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO COUNTY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-748-2327"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Dorado Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Everett Brantley Dyer, M.D
• Wendy Zilch Dyer, M.D.
• David W. Egbert, P.T.
• El Dorado County Community Health Center (El Dorado Community Health Center Cameron Park Main)
• El Dorado County Community Health Center (El Dorado Community Health Center Cameron Park)
• El Dorado Hematology and Medical Oncology
• Roberta Jean Esfandiarfard, R.EEGT
• Charles a. Aubrey Eubanks, M.D.
• Rebecca Falkenstern, PA
• Deborah Ball Fallon, RNP

• Community/Retail Pharmacy in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.