Cares Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Sacramento, CA
NPI 1982114492 · NPPES record last updated Mar 30, 2022
Key facts
- NPI
- 1982114492
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CARES COMMUNITY HEALTH
- Practice address
- 1442 Ethan Way Ste 100
Sacramento, CA 95825-2232 - Phone
- (916) 443-3299
- NPI assigned
- Oct 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Michelle Monroe
- Title
- Ceo
- Phone
- (916) 914-6240
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Facilities with the same owner 1
Practitioners 53
-
Giulia Saia Arostegui, DNP-FNP
-
Andrea Luz Casillas, M.D.
-
Melinda Cuthbert, PHD., DNP, PMHNP-BC
-
Elizabeth Morales, CNM
-
Mary Spernoga, APNP
-
Grace Tidwell, MD
-
Ayah Awwad, PA
-
Karishma K Chawla, M.D.
-
Bryan Clark, PA
-
Stuart Cohen, M.D.
-
Khalilah C Dann, M.D.
-
Sara Evangeline Delaney, MSN/MPH, FNP-C
-
Samreen Kaur Dhariwal, PA-C
-
Susan Hope Dundas, PA-C
-
Traci R Ginsberg, FNP-BC
-
Micaela Caroline Godzich, M.D.
-
Parminder Paul Jagur, DPM
-
Anna Kong, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2181732 | One Community Health - Arden-Arcade | Provider-performed microscopy | Apr 8, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
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
- Corporation · Non-profit
- Incorporated
- Jul 28, 1988 in CA
- Enrollment address
- 1442 Ethan Way
Ste 100
Sacramento, CA 95825-2232
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle a Laufman Monroe |
Corporate Director |
Jan 1, 2020 | |
| W-2 Managing Employee |
Jan 1, 2020 | ||
| Catherine Apker |
Corporate Director |
Jan 1, 2021 | |
| Jerry Jr Bennett |
Corporate Director |
Apr 25, 2024 | |
| Guadalupe M Alonzo-Diaz |
Corporate Director |
Mar 1, 2023 | |
| Gaylene Huntsman |
Corporate Director |
Jan 1, 2012 | |
| Sigrid Owyang |
Corporate Director |
Jan 1, 2024 | |
| Cares Community Health |
5% Or Greater Direct Ownership Interest | Dec 4, 2017 | 100% |
| Operational/Managerial Control | Dec 4, 2017 | 100% | |
| Michael Martinez |
Corporate Director |
Dec 4, 2017 | |
| Ronald Baeza |
Corporate Director |
Jan 1, 2022 | |
| Nicole Vazquez |
Corporate Director |
Jul 31, 2023 | |
| Douglas Smith |
Corporate Director |
Jan 1, 2013 | |
| Sabrina Cruz |
Corporate Director |
Jan 1, 2021 | |
| Susan Bergin |
Corporate Director |
Jan 1, 2013 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| One Community Health |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 28, 1988 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Cares
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM70424F | Medicaid | CA |
Other names
- One Community Health
Other providers in Sacramento, CA
- Careporter Transit, LLC
- Cares Community Health
- Cares Community Health
- Cares Community Health
- Cares Community Health
- Carescope Group, LLC
- Caretemps, LLC
- Caretemps, LLC
- David Caretto
- Carevance Health Services, LLC
All providers in Sacramento, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.