Organization Active NPI

Cares Community Health

Doing business as One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
National Provider Identifier
1982114492
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CARES COMMUNITY HEALTH
Doing business as
One Community Health
Practice address
1442 Ethan Way Ste 100
Sacramento, CA 95825-2232
Phone
(916) 443-3299
NPI assigned
Oct 10, 2017
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Michelle Monroe
Title
Ceo
Phone
(916) 914-6240

Specialties & licenses 1

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

Addresses

Primary practice location

1442 Ethan Way Ste 100
Sacramento, CA 95825-2232

Mailing address

1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299

Other names 1

  • One Community Health Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050718000377 CA Part B Supplier - Clinic/Group Practice 2769418151 Receives reassigned benefits from 78 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carmichael, CA; Sacramento, CA
O20180129000551 CA Part A Provider - Federally Qualified Health Center (FQHC) 2769418151 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982114492. Details of each certification follow.

Federally qualified health center certification: CCN 921127

Legal name
CARES COMMUNITY HEALTH
Doing business as
ONE COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 25, 2018
Last certification
Sep 25, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 28, 1988 in CA
Enrollment address
1442 Ethan Way
Ste 100
Sacramento, CA 95825-2232

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2181732One Community Health - Arden-Arcade1442 Ethan Way Suite 100, Sacramento, CA 95825Provider-performed microscopyApr 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Center for AIDS Researc3 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.

Locations

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

Ownership & related parties

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.

NameRoleSinceShare
Michelle a Laufman Monroe Individual Corporate DirectorCeo Jan 1, 2020
W-2 Managing EmployeeCeo Jan 1, 2020
Catherine Apker Individual Corporate DirectorBoard Member Jan 1, 2021
Jerry Jr Bennett Individual Corporate DirectorBoard Member Apr 25, 2024
Guadalupe M Alonzo-Diaz Individual Corporate DirectorBoard Member Mar 1, 2023
Gaylene Huntsman Individual Corporate DirectorVice Chairperson Jan 1, 2012
Sigrid Owyang Individual Corporate DirectorBoard Member Jan 1, 2024
Cares Community Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 4, 2017 100%
Operational/Managerial Control Dec 4, 2017 100%
Michael Martinez Individual Corporate DirectorBoard Secretary Dec 4, 2017
Ronald Baeza Individual Corporate DirectorBoard Member Jan 1, 2022
Nicole Vazquez Individual Corporate DirectorBoard Member Jul 31, 2023
Douglas Smith Individual Corporate DirectorBoard Member Jan 1, 2013
Sabrina Cruz Individual Corporate DirectorBoard Member Jan 1, 2021
Susan Bergin Individual Corporate DirectorBoard Secretary Jan 1, 2013

Owners & managing parties with NPI records 3

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.

FacilityTypeRoleSince
One Community HealthSacramento, CA, CCN 751074 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 28, 1988

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1982114492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115216",
            "telephone_number": "916-443-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 ETHAN WAY STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252232",
            "telephone_number": "916-443-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-914-6240"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.