OMNI FAMILY HEALTH (NPI# 1568681690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568681690 |
Entity Type | Organization |
Organization Name | OMNI FAMILY HEALTH |
Other Organization Name | NATIONAL HEALTH SERVICES INC |
Practice Address |
525 Roberts Ln Bakersfield CA 93308-4799 |
Mailing Address |
4900 California Ave Ste 400b Bakersfield CA 93309-7081 |
Practice Telephone | 6614591900 |
Practice Fax Number | 6614591974 |
Mailing Telephone | 6614591900 |
Mailing Fax Number | 6614591974 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2018-07-25 |
Authorized Official Name | MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6616307050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
120000668 | CA | Ambulatory Health Care Facilities |
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PHA322610 | 05 | |
CA | MEDICARE PART B | ZZZ03010Z | 01 |
CA | FHC71019F | 05 | |
CA | FAMILY PACT | HAP71019F | 01 |
CA | BCDP | BCP71019F | 01 |
Other Name | Type Code |
---|---|
National Health Services Inc | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
1669014825 | Omni Family Health | Clinic/Center | 1110 W. Visalia Rd, #102, Exeter, CA 93221-2203 | 2019-10-09 |
1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
1184100364 | Omni Family Health | Clinical Medical Laboratory | 6107 N 1st Street, Fresno, CA 93710-5460 | 2018-07-11 |
1194201376 | Omni Family Health | Clinical Medical Laboratory | 860 Sequoia Avenue, Lindsay, CA 93247-1425 | 2018-07-11 |
1902382187 | Omni Family Health | Clinical Medical Laboratory | 1900 N. Gateway Blvd, Ste 116, Fresno, CA 93727-1622 | 2018-07-11 |
1558875203 | Omni Family Health | Clinical Medical Laboratory | 1701 Stine Rd, Bakerfield, CA 93309-4827 | 2017-11-16 |
1063925717 | Omni Family Health | Clinical Medical Laboratory | 912 Fremont Street, Delano, CA 93215-2203 | 2017-11-15 |
1780195529 | Omni Family Health | Clinical Medical Laboratory | 4900 California Ave 400b, Suite 100b, Bakersfield, CA 93309-7081 | 2017-10-19 |
Street Address |
525 ROBERTS LN |
City | BAKERSFIELD |
State | CA |
Zip Code | 93308-4799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255335956 | Nagy Sadek Awadalla | Family Medicine | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2005-06-09 |
1235773680 | Susan Patricia Peretto | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2019-10-29 |
1144755034 | Brandy Oliver | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2017-04-27 |
1497003750 | Hyun-joo Keri Park | Physician Assistant | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2012-08-16 |
1093020935 | Carol A Sackey | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2010-08-16 |
1265755359 | Art of Serenity | Clinic/Center | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2010-03-04 |
1063684413 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-03-26 |
1508044330 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-02-04 |
1548335920 | Neloufa R Merrill | Pediatrics | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-11-21 |
1700804556 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
Find all providers in zip 93308 |
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 |
---|---|---|---|---|
1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
1164806410 | Omni Family Health | Clinic/Center | 1022 Calloway Dr, Bakersfield, CA 93312-6337 | 2015-07-16 |
1336544790 | Clinica Sierra Vista | Clinic/Center | 705 S Union Ave, Bakersfield, CA 93307-3635 | 2014-10-28 |
1851713929 | Omni Family Health | Clinic/Center | 4131 Ming Ave, Bakersfield, CA 93309-4994 | 2014-01-09 |
1790128536 | Clinca Sierra Vista | Clinic/Center | 9001 South H Street, Bakersfield, CA 93307 | 2013-04-11 |
1780928986 | Omni Family Health | Clinic/Center | 4600 Panama Lane, 102b, Bakersfield, CA 93313-3509 | 2012-11-12 |
1942508270 | Clinica Sierra Vista | Clinic/Center | 1125 E California Ave, Bakersfield, CA 93307 | 2011-03-10 |
1396879680 | Clinca Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-16 |
1073515425 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd, Suite 14, Bakersfield, CA 93304-4700 | 2005-08-15 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93308 |
Please comment or provide details below to improve the information on OMNI FAMILY HEALTH.
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.