CAMARENA HEALTH (NPI# 1174989297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174989297 |
| Entity Type | Organization |
| Organization Name | CAMARENA HEALTH |
| Other Organization Name | CAMARENA HEALTH-COUNTRY CLUB DRIVE |
| Practice Address |
1130 Country Club Dr Ste E Madera CA 93638-2691 |
| Mailing Address |
Po Box 299 Madera CA 93639-0299 |
| Practice Telephone | 5596644000 |
| Practice Fax Number | 5596755625 |
| Mailing Telephone | 5596644000 |
| Mailing Fax Number | 5596755625 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | MR. PAULO A. SOARES (CEO) |
| Authorized Official Telephone | 5596644000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMARENA HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
040000045 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Camarena Health-Country Club Drive | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| 1669005427 | Camarena Health | Clinic/Center | 509 S I St Ste C, Madera, CA 93637-4660 | 2020-02-19 |
| 1508415274 | Camarena Health | Clinic/Center | 1159 Country Club Dr, Madera, CA 93638-1537 | 2019-09-05 |
| 1285281741 | Camarena Health | Clinic/Center | 49165 Road 426, Oakhurst, CA 93644-8621 | 2019-08-20 |
| 1770141350 | Camarena Health | Clinic/Center | 2339 W Cleveland Ave Ste 103, Madera, CA 93637-8765 | 2019-05-30 |
| 1013406610 | Camarena Health | Clinic/Center | 441 E Yosemite Ave, Madera, CA 93638-3604 | 2018-05-09 |
| 1023513538 | Camarena Health | Clinic/Center | 35324 Highway 41 Ste A, Coarsegold, CA 93614 | 2018-03-27 |
| 1902185630 | Camarena Health | Clinic/Center | 505 E Almond Avenue, Suite 101, Madera, CA 93637-5742 | 2011-08-11 |
| 1447309885 | Camarena Health | Social Worker | 300 Prosperity Blvd, Chowchilla, CA 93610-8498 | 2007-01-08 |
| 1891778114 | Camarena Health | Social Worker | 344 E 6th Street, Madera, CA 93638-3631 | 2005-11-21 |
| Street Address |
1130 COUNTRY CLUB DR STE E |
| City | MADERA |
| State | CA |
| Zip Code | 93638-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588034920 | Ndzeu Heu | Physician Assistant | 1130 Country Club Dr Ste E, Madera, CA 93638-2691 | 2015-09-28 |
| 1891160503 | Chirag Patel | Nurse Practitioner | 1130 Country Club Dr Ste E, Madera, CA 93638-2691 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| 1669005427 | Camarena Health | Clinic/Center | 509 S I St Ste C, Madera, CA 93637-4660 | 2020-02-19 |
| 1770141350 | Camarena Health | Clinic/Center | 2339 W Cleveland Ave Ste 103, Madera, CA 93637-8765 | 2019-05-30 |
| 1013406610 | Camarena Health | Clinic/Center | 441 E Yosemite Ave, Madera, CA 93638-3604 | 2018-05-09 |
| 1902185630 | Camarena Health | Clinic/Center | 505 E Almond Avenue, Suite 101, Madera, CA 93637-5742 | 2011-08-11 |
| 1124533492 | Camarena Health | Clinic/Center | 705 W Pecan Ave, Madera, CA 93637-6254 | 2017-12-08 |
| 1588086771 | Camarena Health | Clinic/Center | 124 S A St, Madera, CA 93638-3619 | 2014-01-08 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.