UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (NPI# 1255549994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255549994 |
| Entity Type | Organization |
| Organization Name | UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY |
| Practice Address |
2502 Jensen Ave Sanger CA 93657-2250 |
| Mailing Address |
Po Box 790 Parlier CA 93648-0790 |
| Practice Telephone | 5598756000 |
| Practice Fax Number | 5598756016 |
| Mailing Telephone | 5596463561 |
| Mailing Fax Number | 5596463642 |
| Enumeration Date | 2007-05-18 |
| 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) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CA | ZZZ56919Z | 01 |
| 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 |
2502 JENSEN AVE |
| City | SANGER |
| State | CA |
| Zip Code | 93657-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992787444 | United Health Centers of The Sjv | Clinic/Center | 2502 Jensen Ave, Ste 101, Sanger, CA 93657-2250 | 2005-11-18 |
| 1568933794 | Blair London Frye | Physician Assistant | 2502 Jensen Ave, Sanger, CA 93657-2447 | 2018-12-16 |
| 1053830950 | Imgrx Sj Valley Inc | Pharmacy | 2502 Jensen Ave, Sanger, CA 93657-2447 | 2017-09-12 |
| 1861895773 | Imade Osaghae | Physician Assistant | 2502 Jensen Ave, Sanger, CA 93657-2447 | 2014-10-06 |
| 1932477379 | Amanpal Singh Gill | Family Medicine | 2502 Jensen Ave, Sanger, CA 93657-2447 | 2011-12-13 |
| 1811105554 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1639387376 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1235347972 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1962610600 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1568560068 | United Health Centers | Public Health or Welfare | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
| 1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
| 1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
| 1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
| 1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
| 1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
| 1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
| 1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
| 1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
| 1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
| Find all providers in zip 93657 | ||||
| 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 |
|---|---|---|---|---|
| 1992787444 | United Health Centers of The Sjv | Clinic/Center | 2502 Jensen Ave, Ste 101, Sanger, CA 93657-2250 | 2005-11-18 |
| 1629599535 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1570 7th Street, Sanger, CA 93657-0000 | 2017-06-30 |
| 1811105554 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1639387376 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1235347972 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
| 1962610600 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2502 Jensen Ave, Sanger, CA 93657-2250 | 2007-05-18 |
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| 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.