Saint Youstina

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SAINT YOUSTINA

Practice address

809 S Main St Apt a
Santa Ana, CA 92701-6605

Phone

(714) 973-7770

Fax

(714) 973-7775

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Nageeb Beshay, MDNPI 1962434241

Title

Ceo

Phone

(714) 290-6269

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• St Youstina Family Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Federally qualified health center certification: CCN A01135

Legal name

SAINT YOUSTINA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 1, 2022

Last certification

Dec 1, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 9, 2015 in CA

Enrollment address

809 S Main St
Ste a
Santa Ana, CA 92701-6605

Other NPIs with the same Medicare PAC ID 1

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

• Saint Youstina

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144937350

  0840628855

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

• Isaac N Beshay, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1962434241

  Corporate Director, Corporate Officer

  CMS ownership
• Saint Youstina

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144937350

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Saint Youstina

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144937350

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Saint Youstina

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144937350

  Saint Youstina

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac N Beshay, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1962434241
  NPD Authorized official
• Angela Marie Freij, DNP, FNP-C

  • Nurse Practitioner
  • Santa Ana, CA
  • NPI 1275369191
  NPD (past)
• Clemrose Go, NP

  • Family Nurse Practitioner
  • Pico Rivera, CA
  • NPI 1831664085
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1740822360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10875",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270268",
            "telephone_number": "714-973-7770",
            "fax_number": "714-973-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S MAIN ST APT A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016605",
            "telephone_number": "714-973-7770",
            "fax_number": "714-973-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT YOUSTINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BESHAY",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "NAGEEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-290-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346492055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Youstina Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Youstina Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.