Organization
CAMARENA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULO A SOARES (CHIEF EXECUTIVE OFFICER)
(559) 664-4000
Entity
Organization
Contact information
Practice address
344 E 6TH STREET, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5625
Mailing address
PO BOX 299, MADERA, CA 93639-0299
(559) 664-4000
(559) 675-5625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
126800000X
Dental Assistant
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
040000045
CA
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70046F
MEDICAL
CA
01
—
EAP70046F
MEDICAL
CA
01
—
FHC70046F
MEDICAL
CA
01
—
HAP70046F
MEDICAL
CA
Enumeration date
11/21/2005
Last updated
03/29/2012
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