| Omni Family Health | |
|
1133 Chelsea St Ridgecrest CA 93555-5002 | |
| (866) 707-6664 | |
| (661) 746-9197 |
| Full Name | Omni Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1133 Chelsea St, Ridgecrest, 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 Ste 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 1133 Chelsea St Ridgecrest CA 93555-5002 Ph: (866) 707-6664 |
| NPI Number | 1821237355 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 9234176363 |
|---|---|
| Medicare Enrollment ID | O20070227000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821237355 | NPI | - | NPPES |
| FHC71043F | Medicaid | CA | |
| 550000882 | Other | CA | DHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 55000882 (California) | Primary |
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