COMMUNITY MEMORIAL HEALTH SYSTEM (NPI# 1508222506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508222506 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTH SYSTEM |
| Other Organization Name | PREMIERE HEALTH CENTER |
| Practice Address |
258 E Harvard Blvd Santa Paula CA 93060 |
| Mailing Address |
5855 Olivas Park Dr Ventura CA 93003-7672 |
| Practice Telephone | 8056672801 |
| Practice Fax Number | 8056672865 |
| Mailing Telephone | 8056672801 |
| Mailing Fax Number | 8056672865 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | GARY WILDE (CEO, PRESIDENT) |
| Authorized Official Telephone | 8056525011 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premiere Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1659656775 | Community Memorial Health System | Clinic/Center | 321 E Port Hueneme Rd, Port Hueneme, CA 93041-3222 | 2011-10-20 |
| 1063456903 | Community Memorial Health System | Clinic/Center | 4730 Telephone Rd, Ventura, CA 93003-5210 | 2006-06-15 |
| 1124067574 | Community Memorial Health System | Clinic/Center | 250 Citrus Grove Ln, #150, Oxnard, CA 93036-9030 | 2006-06-04 |
| 1689612798 | Community Memorial Health System | Clinic/Center | 242 E Harvard Blvd, Suite C, Santa Paula, CA 93060-3372 | 2006-06-02 |
| 1932732609 | Community Memorial Health System | Clinic/Center | 3655 W 5th St, Oxnard, CA 93030-6424 | 2020-02-20 |
| 1619453982 | Community Memorial Health System | Obstetrics & Gynecology | 2900 Loma Vista Rd Ste 205, Ventura, CA 93003-2909 | 2018-07-19 |
| 1700303633 | Community Memorial Health System | Clinic/Center | 168 N Brent Street, 302, Ventura, CA 93003 | 2017-08-22 |
| 1083001010 | Community Memorial Health System | Clinic/Center | 2721 E Main St, Ventura, CA 93003-2803 | 2015-04-16 |
| 1114339918 | Community Memorial Health System | General Acute Care Hospital | 1306 Maricopa Hwy, Ojai, CA 93023-3131 | 2014-05-28 |
| Street Address |
258 E HARVARD BLVD |
| City | SANTA PAULA |
| State | CA |
| Zip Code | 93060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558424440 | Stephanie D'augustine | Pediatrics | 258 E Harvard Blvd, Santa Paula, CA 93060-3372 | 2006-12-19 |
| 1225440217 | Daniel Ezroj | Pediatrics | 258 E Harvard Blvd, Santa Paula, CA 93060-3372 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460912 | Reward Path Recovery, LLC | Clinic/Center | 525 E. Main St, Santa Paula, CA 93060 | 2018-06-11 |
| 1427305994 | Preetinder Narang | Behavioral Analyst | 216 N 8th Street, Santa Paula, CA 93060 | 2012-08-14 |
| 1346476595 | Rosalia Lopez Castillo | Adult Companion | 227 S. Palm Ave, Santa Paula, CA 93060 | 2009-06-02 |
| 1295936870 | Renee S Lim | Dentist | 125 E Harvard Blvd, #e, Santa Paula, CA 93060 | 2007-05-30 |
| 1225240120 | Richard S. Yoon, Dmd, Inc. | Dentist | 957 Faulkner Rd #104, Santa Paula, CA 93060 | 2007-05-04 |
| 1982723755 | Elizabeth Humphrey | Counselor | 951 East Main St., Santa Paula, CA 93060 | 2007-03-29 |
| 1639298979 | Shelly Brizuela | Marriage & Family Therapist | 951 East Main St, Santa Paula, CA 93060 | 2007-03-28 |
| 1629101472 | Norma J Emery | Registered Nurse | 1360 Say Rd, Santa Paula, CA 93060 | 2007-03-13 |
| 1518021575 | Mark N Sussman | Anesthesiology | 825 North 10th Street, Santa Paula, CA 93060 | 2006-12-21 |
| 1831251735 | Jon L. Schrock | Family Medicine | 845 N.10th St. Ste 1, Santa Paula, CA 93060 | 2006-12-15 |
| Find all providers in zip 93060 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073668158 | Mobile Health Management, LLC | Clinic/Center | 220 W Main St, Santa Paula, CA 93060-3247 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SANTA PAULA |
| Zip Code | 93060 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HEALTH SYSTEM.
| 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.