Active NPI
Ole Health
- Federally Qualified Health Center (FQHC)
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 110000098
- Legal business name
- OLE HEALTH
- Practice address
- 1141 Pear Tree LN
Napa, CA 94558 - Phone
- (707) 254-1774
- Fax
- (707) 251-2988
- NPI assigned
- Oct 13, 2006
- Last updated
- Nov 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alicia Hardy
- Title
- Chief Execuitve Officer
- Phone
- (707) 254-1774
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 110000098 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN
Napa, CA 94558
Mailing address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone (707) 254-1770
Other names 1
- OLE Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040427001735 | CA | Part B Supplier - Clinic/Group Practice | 7315934767 |
Receives reassigned benefits from 134 practitioners 10 other NPIs on this enrollment Practice locations: Napa, CA; Saint Helena, CA; Fairfield, CA; Calistoga, CA; American Canyon, CA |
| O20041118000272 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 7315934767 | Practice locations: Napa, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700976503. Details of each certification follow.
Federally qualified health center certification: CCN 051001
- Legal name
- OLE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 10, 2005
- Last certification
- Jan 10, 2005
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Oct 19, 1972 in CA
- Enrollment address
- 1141 Pear Tree LN
Ste 100
Napa, CA 94558-6485
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Federally Qualified Health Center (FQHC)
- Saint Helena, CA
- NPI 1295913366
Related provider number
-
- Federally Qualified Health Center (FQHC)
- Calistoga, CA
- NPI 1760660831
Related provider number
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Woodland, CA
- NPI 1558469064
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1710087515
7315934767
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1881330579
7315934767
Other NPIs on the same Medicare enrollment 10
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- American Canyon, CA
- NPI 1508573379
O20040427001735
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0601723 | Ole Health (Pear Tree Lane) | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
911 Washington St
Calistoga, CA 94515
Phone (707) 709-2308
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Peter Richmond | Corporate Director | Jul 25, 2017 | |
| Madeline Hernandez | Corporate Director | Apr 23, 2019 | |
| Dawnielle Thornburgh | Corporate Director | Jun 15, 2013 | |
| Deborah Goodin | Corporate Director | Mar 10, 2022 | |
| Joseph Manuel Carrillo | Corporate Director | Jul 25, 2017 | |
| Ebon Richard Jones | Corporate Director | Mar 26, 2013 | |
| Maira Ayala | Corporate Director | Dec 3, 2013 | |
| Exa Johanna Moore | Corporate Director | Nov 23, 2004 | |
| Brandy Lane | Corporate Director | Mar 10, 2022 | |
| Beatrice Labastida | Corporate Director | Dec 22, 2015 | |
| Cynthia Macias | Corporate Director | Oct 14, 2019 | |
| Teresa Lynn Shinder | Corporate Officer | Nov 11, 2019 | |
| Arthur Roosa | Corporate Director | Apr 23, 2019 | |
| Patricia McFarland | Corporate Director | Dec 6, 2016 | |
| Gary Fedler | Corporate Officer | Nov 13, 2017 | |
| Monin Martin | Corporate Director | Oct 14, 2019 | |
| Cephas Mugerwa | Corporate Director | Mar 10, 2022 | |
| Andrew Torge | Corporate Officer | Jun 19, 2017 | |
| Bryan Nazario | Corporate Director | Mar 10, 2022 | |
| Lori Wilson | Corporate Director | Mar 10, 2022 | |
| Anna Roth | Corporate Director | Oct 14, 2019 | |
| Alicia F Hardy | Corporate Officer | Jan 1, 2018 | |
| W-2 Managing Employee | Jan 1, 2018 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ole Health | Federally qualified health center | Operational/Managerial Control (100%) | Sep 14, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 142
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.
-
- Family Nurse Practitioner
- Fairfield, CA
- NPI 1821640616
-
- Family Medicine Physician
- Vacaville, CA
- NPI 1235111022
-
- Physician Assistant
- Fairfield, CA
- NPI 1427296292
-
- Nurse Practitioner
- Fairfield, CA
- NPI 1326506775
-
- Social Worker
- Fairfield, CA
- NPI 1699105247
-
- Medical Physician Assistant
- Vallejo, CA
- NPI 1285996611
-
- Physician Assistant
- Fairfield, CA
- NPI 1639744469
-
- Family Nurse Practitioner
- Fairfield, CA
- NPI 1790358257
-
- Psychiatry Physician
- Napa, CA
- NPI 1063806743
-
- Marriage & Family Therapist
- West Sacramento, CA
- NPI 1497321020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573776000000",
"number": "1700976503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-254-1770",
"fax_number": "707-254-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"city": "NAPA",
"state": "CA",
"postal_code": "94558",
"telephone_number": "707-254-1774",
"fax_number": "707-251-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2019-11-15",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "CHIEF EXECUITVE OFFICER",
"authorized_official_telephone_number": "707-254-1774",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "110000098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OLE Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.