FAMILY HEALTHCARE NETWORK (NPI# 1609384940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609384940 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHCARE NETWORK |
| Practice Address |
255 N Herwaldt Dr Fresno CA 93701-2186 |
| Mailing Address |
305 E Center Ave Visalia CA 93291-6331 |
| Practice Telephone | 5597374700 |
| Practice Fax Number | 5597341247 |
| Mailing Telephone | 5597374700 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | KERRY HYDASH (PRESIDENT & CEO) |
| Authorized Official Telephone | 5597374700 |
| 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 | MEDICARE ID-TYPE UNSPECIFIED | 921088 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1972010684 | Family Healthcare Network | Clinic/Center | 22817 Ave 196, Strathmore, CA 93267 | 2018-01-03 |
| 1033661558 | Family Healthcare Network | Clinic/Center | 927 Center Street, Pixley, CA 93256 | 2016-11-01 |
| 1467809301 | Family Healthcare Network | Clinic/Center | 33463 Globe Dr, Springville, CA 93265-9719 | 2016-05-20 |
| 1790154862 | Family Healthcare Network | Clinic/Center | 4177 Ave. 368, Traver, CA 93673 | 2015-09-18 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1831520048 | Family Healthcare Network | Clinic/Center | 9416 Road 238, Terra Bella, CA 93270-9400 | 2013-12-13 |
| 1992987879 | Family Healthcare Network | Clinic/Center | 305 E Center Ave, Visalia, CA 93291-6331 | 2007-12-03 |
| 1558554519 | Family Healthcare Network | Clinic/Center | 1133 W Poplar Ave, Porterville, CA 93257-5839 | 2007-08-23 |
| 1467504530 | Family Healthcare Network | Clinic/Center | 250 W 5th St, Hanford, CA 93230 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTHCARE NETWORK | 305 E Center Ave, Visalia, CA 93291-6331 |
| Street Address |
255 N HERWALDT DR |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660761 | Simon Francis Dougherty | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2005-12-21 |
| 1982115275 | Andrew Nadir Wickwire | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2017-10-13 |
| 1578004164 | Steven Gunnell | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2017-03-15 |
| 1629529540 | Charles William-wesley Hurd | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2016-10-14 |
| 1891178182 | Annie Michele Fagundes | Nurse Practitioner | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2015-07-04 |
| 1871905984 | Veronica L Demary | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2014-05-22 |
| 1255751434 | Christopher J. Cortez | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2014-04-26 |
| 1326478041 | Mary Casner Hudson | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2013-11-15 |
| 1205265964 | Cameron Avon Adain Baker | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2013-11-04 |
| 1609111624 | Jocelyn Chia Lu | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2012-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1053969642 | Clinca Sierra Vista | Clinic/Center | 1510 N Lafayette Ave, Fresno, CA 93728-1123 | 2019-08-28 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1972908333 | Clinca Sierra Vista | Clinic/Center | 4498 N Brawley Ave, Fresno, CA 93722-3917 | 2014-10-28 |
| 1790100402 | Clinca Sierra Vista | Clinic/Center | 1120 East Church Ave, Fresno, CA 93706 | 2014-03-04 |
| 1033486048 | Clinica Sierra Vista | Clinic/Center | 3645 W Shaw Ave Ste 101, Fresno, CA 93711-3206 | 2011-11-18 |
| 1609026285 | Clinica Sierra Vista | Clinic/Center | 3727 N 1st St Ste 106, Fresno, CA 93726-5628 | 2008-09-19 |
| Find all providers in FRESNO | ||||
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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.