NPIMap

Organization Active NPI

Operation Samahan, Inc

Doing business as Rancho Penasquitos Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
National Provider Identifier
1699216622
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OPERATION SAMAHAN, INC
Doing business as
Rancho Penasquitos Community Health Center
Practice address
9995 Carmel Mountain Rd Suite B10 B11
San Diego, CA 92129-4417
Phone
(844) 200-2426
Fax
(619) 356-2726
NPI assigned
Mar 9, 2017
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Archie Bella, MDNPI 1487098497
Title
Ceo/Cmo
Phone
(844) 200-2426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

9995 Carmel Mountain Rd Suite B10 B11
San Diego, CA 92129-4417

Mailing address

1428 Highland Avenue
National City, CA 91950-4624
Phone (844) 200-2426

Other names 1

  • Rancho Penasquitos Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051001000054 CA Part B Supplier - Clinic/Group Practice 7911932645 Receives reassigned benefits from 42 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; National City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699216622. Details of each certification follow.

  • CCN 921059 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 921059

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OPSAM HEALTH: RANCHO PENASQUITOS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 24, 2018
Last certification
May 24, 2018
Ownership / control type
Non-profit – church related
Facility address
9995 Carmel Mountain Road, Suite B10 & B11
San Diego, CA 92129

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

9995 Carmel Mountain Rd
Ste B10
San Diego, CA 92129

Practitioners & affiliated clinicians

Practitioners 9

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": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1699216622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVENUE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 CARMEL MOUNTAIN RD SUITE B10 B11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294417",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION SAMAHAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BELLA",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "844-200-2426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Penasquitos Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.