COMMUNITY MEMORIAL HEALTH SYSTEM
NPI 1104865518
Clinic/Center - Multi-Specialty in Camarillo, CA

Active since June 05, 2006CLIA Certified · 2 labs
422 ARNEILL RD, SUITE B, CAMARILLO, CA 93010(805) 482-1282(805) 383-4511 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 19, 2025, Jun 21, 2018 (2 updates tracked since 2018).

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

NPI1104865518
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOMMUNITY MEMORIAL HEALTH SYSTEM
Location Address422 ARNEILL RD, SUITE BCamarillo, CA 93010-6439
Mailing Address5855 Olivas Park DrVentura, CA 93003-7672 · (805) 667-2801 · Fax (805) 667-2865
Fax(805) 383-4511
Organization SubpartYes
Authorized OfficialMick ZdeblickCeo · (805) 652-5011
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1104865518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinic/Center · VATaxonomy 261QV0200X
422 ARNEILL RD, Camarillo, CA 93010

Other Names 1

Other NameCommunity Memorial Health Center

Other Identifiers 1

MedicaidZZT40394FCA

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, CA
Active · expires May 30, 2028
CLIA Number05D2113781
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorPaul M. Cisarik MD
Laboratory Phone(805) 482-1282
Laboratory LocationCommunity Memorial Health System Santa Rosa Health Center5800 Santa Rosa Rd Ste 149, Camarillo, CA 93012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1015017

Community Memorial Health System Center For Family Health - Camarillo · Camarillo, CA
Active · expires Jun 13, 2027
CLIA Number05D1015017
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorVeronica W. Butler
Laboratory Phone(805) 383-4518
Laboratory LocationCommunity Memorial Health System Center For Family Health - Camarillo422-B Arneill Rd, Camarillo, CA 93010
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

Pediatrics
422 ARNEILL RD, STE B
CAMARILLO, CA 93010
Internal Medicine
422 ARNEILL RD, STE B
CAMARILLO, CA 93010
Nurse Practitioner (Family)
422 ARNEILL RD, SUITE B
CAMARILLO, CA 93010
Emergency Medicine
422 ARNEILL RD, STE B
CAMARILLO, CA 93010
Family Medicine
422 ARNEILL RD, STE B
CAMARILLO, CA 93010

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 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.

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 16 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.