Active NPI
Dap Health, Inc.
Doing business as DAP Health-Anza Community Health Center
- Federally Qualified Health Center (FQHC)
- Anza, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- DAP HEALTH, INC.
- Doing business as
- DAP Health-Anza Community Health Center
- Practice address
- 58581 US Highway 371
Suites F, G, & H
Anza, CA 92539 - Phone
- (619) 344-2815
- Fax
- (619) 398-2412
- NPI assigned
- Jan 31, 2014
- Last updated
- Mar 8, 2024
- 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
- Judy Stith
- Title
- Chief Administrative Officer
- Phone
- (760) 323-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
58581 US Highway 371
Suites F, G, & H
Anza, CA 92539
Mailing address
1695 N. Sunrise Way
Palm Springs, CA 92262
Phone (760) 323-2118
Other names 1
- DAP Health-Anza Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100608000193 | CA | Part B Supplier - Clinic/Group Practice | 6002989522 |
Receives reassigned benefits from 103 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Thermal, CA; San Jacinto, CA; Cathedral City, CA; Palm Springs, CA; Escondido, CA; El Cajon, CA; Desert Hot Springs, CA; Coachella, CA… |
| O20240606003239 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 6002989522 | Practice locations: Anza, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1942623657. Details of each certification follow.
Federally qualified health center certification: CCN 751809
- Legal name
- DAP HEALTH INC
- Doing business as
- DAP - ANZA COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 11, 2014
- Last certification
- Aug 11, 2014
- Ownership / control type
- For profit – corporation
- Most recent change of ownership
- Aug 1, 2023 (1 total)
- Organization structure
- Corporation
- Incorporated
- Aug 22, 1984 in CA
- Enrollment address
- 58581 US Highway 371
Ste FGH
Anza, CA 92539-9331
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
6002989522
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
6002989522
-
dba DAP Health-Centro Medico El Cajon
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1154480069
6002989522
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
6002989522
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
6002989522
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
6002989522
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
6002989522
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
6002989522
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
6002989522
-
dba DBA Stonewall Pharmacy
- Clinic Pharmacy
- Cathedral City, CA
- NPI 1659824837
6002989522
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
6002989522
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
O20100608000193
-
dba DAP Health-Centro Medico Escondido-1121 Washington
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1023349883
O20100608000193
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
O20100608000193
-
dba DAP Health-Centro Medico El Cajon
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1154480069
O20100608000193
-
dba DAP Health- Centro Medico Thermal - 88775 Avenue 76
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1255490819
O20100608000193
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
O20100608000193
-
dba DAP Health-Stonewall Community Health Center
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
O20100608000193
-
dba DAP Health-Desert Hot Springs-Palm Avenue
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1407288061
O20100608000193
-
dba DAP Health-San Jacinto Community Health Center
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1598180101
O20100608000193
-
dba DAP Health-Centro Medico Cathedral City-69175 Ramon
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1619036514
O20100608000193
-
dba DAP Health-Centro Medico Thermal-55497 Van Buren
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1730249947
O20100608000193
National Provider Directory
National Provider Directory- Tax ID family
- Dap Health Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DAP Health-La Mesa Pediatrics
- Federally Qualified Health Center (FQHC)
- La Mesa, CA
- NPI 1033759311
-
dba DAP Health - Mobile Dental Unit #8
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1104501691
-
dba DAP Health - Centro Medico Mobile Clinic
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1124703616
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
dba DAP Health-Centro Medico Cathedral City-Dental
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1164117859
-
dba Desert Hot Springs Health and Wellness Center
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1184065088
-
dba DAP Health-Desert Hot Spring-Main Campus
- Federally Qualified Health Center (FQHC)
- Desert Hot Springs, CA
- NPI 1275849283
-
dba DAP Health - Mobile Unit #4
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1295410785
-
- Home Health Agency
- Palm Springs, CA
- NPI 1336312172
-
dba DAP Health - Centro Medico Cathedral City - Dental
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1336835149
-
dba DAP Health - Mobile Dental Trailer #2
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1346925674
-
dba DAP Health - Mobile Dental Trailer #1
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1366127698
Locations
58581 US Highway 371
#F
Anza, CA 92539
Phone (619) 344-2815
68555 Ramon Rd
Ste 101
Cathedral City, CA 92234
Phone (760) 507-3310
68555 Ramon Rd
Ste D105
Cathedral City, CA 92234
Phone (760) 507-3300
12520 Palm Dr
Desert Hot Springs, CA 92240
Phone (760) 416-3770
1100 N Palm Canyon Dr
Ste 104106
Palm Springs, CA 92262
Phone (760) 327-1188
1695 N Sunrise Way
Ste 101
Palm Springs, CA 92262
1695 N Sunrise Way
Ste 201
Palm Springs, CA 92262
1695 N Sunrise Way
Ste 202
Palm Springs, CA 92262
Phone (760) 778-2210
1695 N Sunrise Way
Ste 203
Palm Springs, CA 92262
1695 N Sunrise Way
Ste 204
Palm Springs, CA 92262
Ownership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| David Brinkman | Corporate Officer | Aug 1, 2023 | 100% |
| Patrick Jordan | Corporate Director | Aug 1, 2023 | |
| Frederick Drewette | Corporate Director | Aug 1, 2023 | |
| Gladis Adriana Perez | W-2 Managing Employee | Aug 1, 2023 | |
| Veronica Willimas | Corporate Director | Feb 27, 2024 | |
| Judy Stith | Corporate Officer | Aug 1, 2023 | |
| Athalie Lapamuk | Corporate Director | Aug 1, 2023 | |
| Scot Karp | Corporate Director | Jun 1, 2024 | |
| Mark Charles Adams | Corporate Director | Jun 1, 2024 | |
| Kevin Bass | Corporate Director | Aug 1, 2023 | |
| Carolyn Caldwell | Corporate Director | Aug 1, 2023 | |
| Bruce Finch | Corporate Director | Aug 1, 2023 | |
| Karyl Ketchum | Corporate Director | Aug 1, 2023 | |
| Frank Figueroa | Corporate Director | Aug 1, 2023 | |
| Eve Fromberg | Corporate Director | Aug 1, 2023 | |
| Mark Hamilton | Corporate Director | Aug 1, 2023 |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2023 | Change of Ownership | Anza Community Health Center |
| Aug 1, 2023 | Change of Ownership | Dap - Anza Community Health Center |
Practitioners & affiliated clinicians
Practitioners 72
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.
-
- Nurse Practitioner
- Cathedral City, CA
- NPI 1982003604
-
- Family Medicine Physician
- Cathedral City, CA
- NPI 1174900211
-
- Family Medicine Physician
- Coachella, CA
- NPI 1174010169
-
- Emergency Medicine Physician
- Chula Vista, CA
- NPI 1164414827
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1255109831
-
- Family Medicine Physician
- Escondido, CA
- NPI 1588642847
-
- Psychiatric/Mental Health Nurse Practitioner
- Cathedral City, CA
- NPI 1972165660
-
- Internal Medicine Physician
- Cathedral City, CA
- NPI 1326137589
-
- Family Nurse Practitioner
- Cathedral City, CA
- NPI 1275296360
-
- Clinical Social Worker
- Palm Springs, CA
- NPI 1962837088
-
- Surgical Physician Assistant
- Chula Vista, CA
- NPI 1861595977
-
- Medical Physician Assistant
- Riverside, CA
- NPI 1093149783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1942623657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 N. SUNRISE WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92262",
"telephone_number": "760-323-2118",
"fax_number": "760-767-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58581 US HIGHWAY 371",
"address_2": "SUITES F, G, & H",
"city": "ANZA",
"state": "CA",
"postal_code": "92539",
"telephone_number": "619-344-2815",
"fax_number": "619-398-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAP HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "STITH",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "760-323-2118"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DAP Health-Anza Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anza, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.