| Omni Family Health | |
|
21138 Paso Robles Hwy Lost Hills CA 93249-0306 | |
| (866) 707-6664 | |
| (661) 746-9197 |
| Full Name | Omni Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 21138 Paso Robles Hwy, Lost Hills, California |
| Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616307050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Family Health 4900 California Ave Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 21138 Paso Robles Hwy Lost Hills CA 93249-0306 Ph: (866) 707-6664 |
| NPI Number | 1376558221 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 9234176363 |
|---|---|
| Medicare Enrollment ID | O20100709000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376558221 | NPI | - | NPPES |
| FHC70290F | Medicaid | CA | |
| BCP70290F | Other | CA | CDHS |
| CLP 320413 | Medicaid | CA | |
| HAP70290F | Other | CA | DHCS/FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000197 (California) | Primary |