OMNI FAMILY HEALTH NPI 1609048040

NPI Information

NPI: 1609048040
Provider Name: OMNI FAMILY HEALTH

Former Legal Business Name: NATIONAL HEALTH SERVICES, IINC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1133 CHELSEA STREET
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-7978
Get Directions

OMNI FAMILY HEALTH is a federally qualified health center (fqhc) clinic center in Ridgecrest, CA. OMNI FAMILY HEALTH NPI is 1609048040. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is National Health Services, Iinc.

The provider's business location address is:

1133 CHELSEA STREET
RIDGECREST, CA
ZIP 93555-133
Phone: (760) 446-7978
Fax: (760) 446-5988

The provider's authorized official is Francisco L Castillon .
The authorized official title is Ceo and has the following contact phone number (661) 630-7050.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 7/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		CLP 320413	CALIFORNIA	No
2	291U00000X	Clinical Medical Laboratory		CLP320413	CALIFORNIA	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	555000882	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W33511	MEDICARE UPIN	CALIFORNIA
2	HAP71043F	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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