COMMUNITY OUTREACH MEDICAL SERVICES (NPI# 1295152668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295152668 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OUTREACH MEDICAL SERVICES |
| Practice Address |
1200 N Tustin Ave Suite 130 Santa Ana CA 92705-3508 |
| Mailing Address |
1200 N Tustin Ave Suite 130 Tustin CA 92705 |
| Practice Telephone | 6576009077 |
| Practice Fax Number | 6576009067 |
| Mailing Telephone | 6576009077 |
| Mailing Fax Number | 6576009067 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. JACOB NAVA FLORES SR. (CEO / CMO) |
| Authorized Official Telephone | 6576009077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150209 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave Ste 130, Santa Ana, CA 92705-3501 | 2015-12-09 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| Street Address |
1200 N TUSTIN AVE SUITE 130 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051994 | Sanford Chen | Ophthalmology | 1200 N Tustin Ave, Ste 140, Santa Ana, CA 92705-3501 | 2005-05-27 |
| 1346652781 | Practice Diagnostics LLC | Clinic/Center | 1200 N Tustin Ave, Suite 120, Santa Ana, CA 92705-3508 | 2014-05-20 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| 1679801757 | Arthur Selvan, Md; Inc. | Clinic/Center | 1200 N Tustin Ave, Suite 260, Santa Ana, CA 92705-3508 | 2009-11-30 |
| 1013165380 | North Tustin Surgery Center, Inc. | Clinic/Center | 1200 N Tustin Ave, Suite 155, Santa Ana, CA 92705-3508 | 2008-08-28 |
| 1386814994 | Michael Sheety M.d., Inc. | Optometrist | 1200 N Tustin Ave, Suite # 230, Santa Ana, CA 92705-3508 | 2008-03-11 |
| 1811170830 | Xinming Fu, Md, Inc | Internal Medicine | 1200 N Tustin Ave, Suite 255, Santa Ana, CA 92705-3508 | 2007-12-13 |
| 1154514388 | Sanford L. Ratner Dds and Monty C.wilson Dds Inc. | Dentist | 1200 N Tustin Ave, Suite 108, Santa Ana, CA 92705-3508 | 2007-08-21 |
| 1154511145 | Haled Hajdari | Dentist | 1200 N Tustin Ave, 110, Santa Ana, CA 92705-3508 | 2007-07-26 |
| 1386848141 | Merrill E Schmidt | Dentist | 1200 N Tustin Ave, Suite 200, Santa Ana, CA 92705-3508 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150209 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave Ste 130, Santa Ana, CA 92705-3501 | 2015-12-09 |
| 1013138486 | Birthchoice Health Clinic | Clinic/Center | 415 N Sycamore St, St. 200, Santa Ana, CA 92701-4607 | 2007-05-01 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1295170546 | Birth Choice Pregnancy Centers, Inc | Clinic/Center | 1100 N Tustin Ave, #d-1, Santa Ana, CA 92705-3509 | 2013-04-30 |
| 1295039923 | Leslie Matthews Casserly | Clinic/Center | 415 N Sycamore St, Suite 200, Santa Ana, CA 92701-4607 | 2011-01-10 |
| 1134398043 | Altamed Health Services Corp | Clinic/Center | 2223 W 1st St, Santa Ana, CA 92703-3505 | 2008-02-25 |
| 1053580175 | Altamed Health Services Corp | Clinic/Center | 1227 W 17th St, Santa Ana, CA 92706-3455 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1891301578 | Vida Community Clinic | Clinic/Center | 1519 Woodworth St, San Fernando, CA 91340-4153 | 2020-09-18 |
| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 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.