OMNI FAMILY HEALTH (NPI# 1659590784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659590784 |
| Entity Type | Organization |
| Organization Name | OMNI FAMILY HEALTH |
| Other Organization Name | NATIONAL HEALTH SERVICES |
| Practice Address |
21138 Paso Robles Hwy Lost Hills CA 93249-0306 |
| 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 |
120000197 | CA | Ambulatory Health Care Facilities |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70290F | 05 | |
| CA | MEDICARE PART B | ZZZ24686Z | 01 |
| CA | FAMILY PACT | HAP70290F | 01 |
| CA | PHA322610 | 05 |
| Other Name | Type Code |
|---|---|
| National Health Services | 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 |
21138 PASO ROBLES HWY |
| City | LOST HILLS |
| State | CA |
| Zip Code | 93249-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376558221 | Omni Family Health | Clinic/Center | 21138 Paso Robles Hwy, Lost Hills, CA 93249-0306 | 2006-07-29 |
| 1205241148 | Inga Wilder | Family Medicine | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2014-06-30 |
| 1649442088 | Omni Family Health | Clinical Medical Laboratory | 21138 Paso Robles Hwy, Lost Hills, CA 93249-0306 | 2008-03-26 |
| 1316144975 | Ludim Estuardo Vielman | Physician Assistant | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2007-06-28 |
| 1952507600 | Clarissa Y De Castro | Dentist | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1336337799 | Naomi Kamil Bjornstad | Physician Assistant | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2007-10-11 |
| 1922528397 | Lizbeth Orozco Jauregui | Physician Assistant | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2017-06-26 |
| 1871043653 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2016-10-05 |
| 1750752804 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2015-10-15 |
| 1801231238 | Raymond Tsai | Family Medicine | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2013-04-29 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | LOST HILLS |
| Zip Code | 93249 |
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.