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EL DORADO COMMUNITY HEALTH CENTER CAMERON PARK MAIN
NPI 1073981783
Clinic/Center - Federally Qualified Health Center (FQHC) in Cameron Park, CA

Active since September 11, 2015CLIA 05D1012075 · Waiver
3100 PONTE MORINO DR, SUITE 120, CAMERON PARK, CA 95682(530) 621-7700 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2023, Mar 15, 2023, May 10, 2017 and 1 more (4 updates tracked since 2015).

About El Dorado Community Health Center Cameron Park Main NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EL DORADO COMMUNITY HEALTH CENTER CAMERON PARK MAIN (NPI 1073981783) is a healthcare organization registered as a federally qualified health center (fqhc) in Cameron Park, California and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Judy Stein, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073981783
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEL DORADO COUNTY COMMUNITY HEALTH CENTER
Location Address3100 PONTE MORINO DR, SUITE 120Cameron Park, CA 95682-7432
Mailing Address4212 Missouri Flat RdPlacerville, CA 95667-6269 · (530) 621-7700 · Fax (530) 621-7713
Phone(530) 621-7700
Organization SubpartYes
Authorized OfficialJudy SteinCfo · (530) 748-2327
Enumeration DateSeptember 11, 2015
Last NPPES UpdateNovember 21, 20234 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1073981783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3100 PONTE MORINO DR, Cameron Park, CA 95682
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Other Names 1

Doing Business AsEl Dorado Community Health Center Cameron Park Main

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1012075

El Dorado Community Health Center · Placerville, CA
Active · expires Mar 31, 2028
CLIA Number05D1012075
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorHani A. Chaabo
Laboratory Phone(530) 621-7700
Laboratory LocationEl Dorado Community Health Center4212 Missouri Flat Road, Placerville, CA 95667
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAI LE M.D.
Family Medicine
3100 PONTE MORINO DR
CAMERON PARK, CA 95682
El Dorado County (530) 621-7700
ANDREA RODRIGO MSW
Social Worker (Clinical)
3100 PONTE MORINO DR
CAMERON PARK, CA 95682
El Dorado County (530) 621-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is El Dorado County Community Health Center's NPI number?

The NPI number for El Dorado County Community Health Center is 1073981783. It was assigned to this organization in the NPPES registry on September 11, 2015. The provider is doing business as El Dorado Community Health Center Cameron Park Main.

Where is El Dorado County Community Health Center located?

El Dorado County Community Health Center is located at 3100 Ponte Morino Dr Suite 120, Cameron Park, CA 95682. The listed phone number is (530) 621-7700.

What is El Dorado County Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does El Dorado County Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1012075) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for El Dorado County Community Health Center was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.