OMNI FAMILY HEALTH (NPI# 1669014825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669014825 |
| Entity Type | Organization |
| Organization Name | OMNI FAMILY HEALTH |
| Practice Address |
1110 W. Visalia Rd #102 Exeter CA 93221-2203 |
| Mailing Address |
4900 California Ave Ste 400b Bakersfield CA 93309-7081 |
| Practice Telephone | 6614591900 |
| Practice Fax Number | 6617469197 |
| Mailing Telephone | 6614591900 |
| Mailing Fax Number | 6617469197 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6616307050 |
| 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 | W33511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
| 1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
| 1184100364 | Omni Family Health | Clinical Medical Laboratory | 6107 N 1st Street, Fresno, CA 93710-5460 | 2018-07-11 |
| 1194201376 | Omni Family Health | Clinical Medical Laboratory | 860 Sequoia Avenue, Lindsay, CA 93247-1425 | 2018-07-11 |
| 1902382187 | Omni Family Health | Clinical Medical Laboratory | 1900 N. Gateway Blvd, Ste 116, Fresno, CA 93727-1622 | 2018-07-11 |
| 1558875203 | Omni Family Health | Clinical Medical Laboratory | 1701 Stine Rd, Bakerfield, CA 93309-4827 | 2017-11-16 |
| 1063925717 | Omni Family Health | Clinical Medical Laboratory | 912 Fremont Street, Delano, CA 93215-2203 | 2017-11-15 |
| 1780195529 | Omni Family Health | Clinical Medical Laboratory | 4900 California Ave 400b, Suite 100b, Bakersfield, CA 93309-7081 | 2017-10-19 |
| 1205367646 | Omni Family Health | Clinical Medical Laboratory | 4844 N 1st St Ste 104, Fresno, CA 93726-0529 | 2017-03-27 |
| Street Address |
1110 W. VISALIA RD #102 |
| City | EXETER |
| State | CA |
| Zip Code | 93221-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255766069 | Annita Ruth Regehr | Counselor | 125 S. 'f' St., Exeter, CA 93221 | 2013-09-11 |
| 1760609168 | Martina Gutierrez | Student in an Organized Health Care Education/Training Program | 514-516 N. Kaweah, Exeter, CA 93221 | 2007-04-19 |
| 1063638823 | Darren L Rich | Dentist | 140 S B St, Exeter, CA 93221 | 2007-04-18 |
| 1033127014 | Exeter District Ambulance | Ambulance | 302 East Palm Street, Exeter, CA 93221 | 2006-08-04 |
| 1942221171 | R Douglas Owen Do Inc | Family Medicine | 244 N Kaweah Ave, Exeter, CA 93221 | 2006-07-22 |
| 1417909615 | Ann E. Hickey | Internal Medicine | 560 South Elberta Road, Exeter, CA 93221 | 2006-05-16 |
| 1629029194 | Talaksoon Khademi | Obstetrics & Gynecology | 1014 San Juan Ave., Exeter, CA 93221 | 2006-05-12 |
| 1518402858 | Teresa De Jesus Cruz | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2016-12-22 |
| 1871726133 | Vance Physical Therapy and Wellness Inc | Clinic/Center | 511 W Visalia Rd, Exeter, CA 93221 | 2009-09-02 |
| 1912039959 | Ramiro Mena Raya Jr. | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2007-03-12 |
| Find all providers in zip 93221 | ||||
| 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 |
|---|---|---|---|---|
| 1699337949 | Family Healthcare Network | Clinic/Center | 330 E Pine St, Exeter, CA 93221-1838 | 2019-07-07 |
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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.