UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (NPI# 1184606634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184606634 |
| Entity Type | Organization |
| Organization Name | UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY |
| Practice Address |
121 Barboza St Mendota CA 93640-1901 |
| Mailing Address |
Po Box 790 Parlier CA 93648-0790 |
| Practice Telephone | 5596555000 |
| Practice Fax Number | 5596556818 |
| Mailing Telephone | 5596466618 |
| Mailing Fax Number | 5596466614 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENJAMIN H FLORES (CEO) |
| Authorized Official Telephone | 5596466618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03956F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322119 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2497 Herndon Ave Ste 103, Clovis, CA 93611-8977 | 2020-07-03 |
| 1972129112 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1901 E Shields Ave Ste 103, Fresno, CA 93726-5313 | 2020-06-23 |
| 1891319562 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2610 Tuolumne St Bldg B, Fresno, CA 93721-1227 | 2020-05-29 |
| 1457974206 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2630 Tuolumne St Bldg A, Fresno, CA 93721-1227 | 2020-05-27 |
| 1336776285 | United Health Centers of The San Joaquin Valley | Pharmacy | 2705 S. Highland Avenue, Pharmacy Suite, Selma, CA 93662-3389 | 2020-03-23 |
| 1467088773 | United Health Centers of The San Joaquin Valley | Pharmacy | 17008 13th St., Attn: Pharmacy, Huron, CA 93234-9997 | 2020-03-18 |
| 1952937559 | United Health Centers of The San Joaquin Valley | Clinic/Center | 300 Westgate Way, Dinuba, CA 93618-9693 | 2020-03-16 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1629621651 | United Health Centers of The San Joaquin Valley | Clinic/Center | 17008 13th Street, Huron, CA 93234-9997 | 2019-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY | 3875 W Beechwood Ave, Fresno, CA 93722-0795 |
| Street Address |
121 BARBOZA ST |
| City | MENDOTA |
| State | CA |
| Zip Code | 93640-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377048 | Brandon Wong | Physician Assistant | 121 Barboza St, Mendota, CA 93640-1901 | 2020-05-16 |
| 1326604364 | Karen Ashley Merriweather | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2019-05-15 |
| 1184148744 | Joanna Fabris | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2017-07-26 |
| 1376956235 | Mandeep Kaur | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2014-06-09 |
| 1205255817 | Sonia Fabionar Relingo | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2014-04-10 |
| 1609210830 | Raman Mattu | Internal Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2013-04-18 |
| 1366798530 | Kongsab La Hatlavongsa | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2012-07-25 |
| 1134420144 | Shila Shafii Noori | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2010-11-08 |
| 1588836688 | Kristen Marie Stockamp | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2008-03-28 |
| 1093926180 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243782 | Turning Point of Central California, Inc. | Community/Behavioral Health | 121 Belmont Ave. Ste 300, Mendota, CA 93640 | 2020-07-30 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1912465626 | Gayathri Parameswaran Iyer | Dentist | United Health Centers, 121 Barboza St, Mendota, CA 93640 | 2019-03-12 |
| 1801372594 | Fresno County Superintendent of Schools | Psychologist | 121 Belmont Avenue, Mendota, CA 93640 | 2018-07-16 |
| 1730488180 | Promesa Behavioral Health | Community/Behavioral Health | 1258 E. Belmont Avenue, Mendota, CA 93640 | 2011-03-24 |
| 1689809097 | Fresno County Behavioral Health | Clinic/Center | 121 Barbosa St., Mendota, CA 93640 | 2009-05-29 |
| 1760826754 | Mendota Unified School District | Local Education Agency (LEA) | 115 Mccabe Ave, Mendota, CA 93640-2000 | 2013-04-22 |
| 1659874584 | Nayeli Baez | Behavior Technician | 595 I St, Mendota, CA 93640-2121 | 2018-03-16 |
| 1386942316 | Promesa Behavioral Health | Community/Behavioral Health | 211 Smoot Ave, Mendota, CA 93640-2234 | 2011-02-28 |
| 1881780757 | Pharmkee, Inc. | Durable Medical Equipment & Medical Supplies | 497 Oller St, Mendota, CA 93640-2312 | 2006-10-05 |
| Find all providers in zip 93640 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114047016 | St Charles Health Council Inc | Clinic/Center | 2534 Mendota Road, Mendota, VA 24270 | 2007-04-02 |
| 1093981367 | Community Health Partnership of Illinois | Clinic/Center | 1009 Main St, Mendota, IL 61342-1604 | 2008-05-06 |
| 1093926180 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-24 |
| 1427269521 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-24 |
| 1659580041 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-22 |
| 1255540092 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-21 |
| 1295944015 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-21 |
| 1790994556 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2007-05-21 |
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| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.