Community Outreach Medical Services

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

550002046 Issued in CA

Legal business name

COMMUNITY OUTREACH MEDICAL SERVICES

Practice address

1200 N Tustin Ave Ste 130
Santa Ana, CA 92705-3501

Phone

(310) 309-7456

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 2015By 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

Kelly Barnes

Title

Ceo

Phone

(310) 309-7456

Specialties & licenses 1

Addresses

Tax ID family

Community Outreach Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Community Outreach Medical Service

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1295078376
  NPD tax ID
• Community Outreach Medical Services

  • Community Health Clinic/Center
  • Santa Ana, CA
  • NPI 1295152668
  NPD tax ID

Locations

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1790150209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053501",
            "telephone_number": "310-309-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-309-7456"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550002046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Initiative of Orange County
• Community Medicine Inc.
• Community Outreach Medical Service
• Community Outreach Medical Services
• Community Outreach Medical Services
• Community Seniorserv, Inc. (Santa Ana Vip Adult Day Health Care)
• Angel Davin Comparan
• Compassus Op of California LLC (Compassus - Santa Ana)
• Complete Family Therapy, Inc.
• Complete Medical Management

• Community Health Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.