NPIMap

Organization Active NPI

Operation Samahan Inc

Doing business as Erma Rd Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
National Provider Identifier
1861933897
Registry record updated Feb 19, 2025
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
Erma Rd Community Health Center
Practice address
9855 Erma Rd
Suite 105 & 106
San Diego, CA 92131-3001
Phone
(844) 200-2426
Fax
(858) 578-4417
NPI assigned
Mar 9, 2017
Organization subpart
Yes
Parent organization
OPERATION SAMAHAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Archie P. BellaNPI 1487098497
Title
Chief Executive Officer
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

9855 Erma Rd
Suite 105 & 106
San Diego, CA 92131-3001

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
BPSH80018226OtherCAHRSA

Other names 1

  • Erma Rd Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

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
O20250227002017 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911932645 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861933897. Details of each certification follow.

Federally qualified health center certification: CCN A01932

Legal name
OPERATION SAMAHAN INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 19, 2025
Last certification
Feb 19, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
9855 Erma Rd
Ste 105-106
San Diego, CA 92131-3001

Other NPIs with the same Medicare PAC ID 4

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

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
Tax ID family
Operation Samahan Inc7 organizations share this tax ID, including this one
Part of
Operation Samahan Inc

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Brandon Meza Individual Corporate DirectorChair Board Feb 17, 2017
Oscar Campos Individual Corporate DirectorSecretary Feb 17, 2017
Archie Bella Individual Corporate OfficerCeo Jan 1, 2021 100%
W-2 Managing Employee Jan 1, 2021
Operational/Managerial ControlCeo Jan 1, 2021
Alex Carolino Individual Corporate DirectorVice Chair Nov 27, 2019

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Operation Samahan ClinicNational City, CA, CCN 051060 Federally qualified health center Operational/Managerial Control (100%) Sep 20, 2006
Operation Samahan OutreachSan Diego, CA, CCN 051061 Federally qualified health center Operational/Managerial Control (100%) Nov 3, 2006
Samahan Health CentersNational City, CA, CCN 751022 Federally qualified health center Other (100%) May 15, 1973
Operation Samahan IncSan Diego, CA, CCN A11035 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2025

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1739923200000",
    "number": "1861933897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "SUITE 105 & 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313001",
            "telephone_number": "844-200-2426",
            "fax_number": "858-578-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION SAMAHAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPERATION SAMAHAN INC",
        "enumeration_date": "2017-03-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BELLA",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "844-200-2426"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HRSA",
            "identifier": "BPSH80018226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erma Rd 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.