COMMUNITY MEMORIAL HEALTH SYSTEM
NPI 1508222506
Clinic/Center - Rural Health in Santa Paula, CA
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D0698707
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-18-2026
About COMMUNITY MEMORIAL HEALTH SYSTEM
This page provides the complete NPI Profile along with additional information for Community Memorial Health System, a primary care provider established in Santa Paula, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1508222506 assigned on January 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mick Zdeblick (Ceo, President)
- NPI
- 1508222506 Verify this NPI
- Provider Name
- COMMUNITY MEMORIAL HEALTH SYSTEM
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 258 E HARVARD BLVD SANTA PAULA, CA 93060
- Location Phone
- (805) 525-8622
- Location Fax
- (805) 525-1870
- Mailing Address
- 5855 OLIVAS PARK DR VENTURA, CA 93003
- Mailing Phone
- (805) 667-2801
- Mailing Fax
- (805) 667-2865
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-06-2016
- Last Update Date
- 05-19-2025
- Code Navigator
A primary care provider (PCP) like Community Memorial Health System sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0698707
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- ROBERT STREETER MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Community Memorial Health System in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508222506, enumerated as an "organization" on January 06, 2016.
The provider is located at 258 E HARVARD BLVD SANTA PAULA, CA 93060 and the phone number is (805) 525-8622.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
