COMMUNITY MEMORIAL HEALTH SYSTEM
NPI 1104865518
Clinic/Center - Multi-Specialty in Camarillo, CA
About Community Memorial Health System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY MEMORIAL HEALTH SYSTEM (NPI 1104865518) is a healthcare organization registered as a multi-specialty in Camarillo, California and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Mick Zdeblick, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Memorial Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
266Medicare enrollment records show 266 clinicians reassign Medicare billing to Community Memorial Health System, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 41
Nearest to this location (20)
See all 266Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 for Provider-Performed Microscopy Procedures (PPMP) 05D2113781
Community Memorial Health System Santa Rosa Health Center · Camarillo, CACertificate for Provider-Performed Microscopy Procedures (PPMP) 05D1015017
Community Memorial Health System Center For Family Health - Camarillo · Camarillo, CAFrequently 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 Community Memorial Health System's NPI number?
The NPI number for Community Memorial Health System is 1104865518. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is also known as Community Memorial Health Center.
Where is Community Memorial Health System located?
Community Memorial Health System is located at 422 Arneill Rd Suite B, Camarillo, CA 93010. The listed phone number is (805) 482-1282.
What is Community Memorial Health System's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Community Memorial Health System enrolled in Medicare?
Yes. Community Memorial Health System is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Memorial Health System?
According to the CMS Revalidation Reassignment List (October 2026 release), 266 clinicians in 41 Medicare specialties reassign their Medicare billing to Community Memorial Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (56), Internal Medicine (31) and Nurse Practitioner (29). Of these, 4 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Memorial Health System hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Community Memorial Health System was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Community Memorial Health System · NPI 1104865518
Multi-Specialty organization in Camarillo, California. Organization record, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1104865518 (Entity type: Organization)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Community Memorial Health Center (Other Name)
- **Organization subpart:** Yes (part of Community Memorial Health System)
- **Authorized official:** Mick Zdeblick, CEO
## Practice location
- **Address:** 422 ARNEILL RD, SUITE B, Camarillo, CA 93010-6439
- **Phone:** (805) 482-1282 · **Fax:** (805) 383-4511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 266 clinicians in 41 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (56), Internal Medicine (31), Nurse Practitioner (29); 4 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1104865518/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
- **Other identifiers:** Medicaid ZZT40394F (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104865518) · Data from the CMS NPPES public registry.