NPIMap

Organization Active NPI

Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Royal Oaks, CA
National Provider Identifier
1003173279
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
070000369 Issued in CA
Legal business name
CLINICA DE SALUD DEL VALLE DE SALINAS
Practice address
29 Bishop St Ste a
Royal Oaks, CA 95076-5266
Phone
(831) 728-2505
Fax
(831) 728-2636
NPI assigned
Apr 12, 2012
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maximiliano Cuevas, M.D.
Title
Ceo
Phone
(831) 757-8689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 070000369 CA Primary

Addresses

Primary practice location

29 Bishop St Ste a
Royal Oaks, CA 95076-5266

Mailing address

55 Plaza Cir
Salinas, CA 93901-2952
Phone (831) 757-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081118000667 CA Part B Supplier - Clinic/Group Practice 3678513736 Receives reassigned benefits from 71 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castroville, CA; Gonzales, CA; Greenfield, CA; King City, CA; Royal Oaks, CA; Salinas, CA; Soledad, CA
O20151112000792 CA Part A Provider - Federally Qualified Health Center (FQHC) 3678513736 Practice locations: Royal Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003173279. Details of each certification follow.

Federally qualified health center certification: CCN 751179

Legal name
CLINICA DE SALUD DEL VALLE DE SALINAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 24, 2015
Last certification
Sep 24, 2015
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 1980 in CA
Enrollment address
29 Bishop Street Suite a
Royal Oaks, CA 95076-5266

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

29 Bishop St
Ste A
Royal Oaks, CA 95076
Phone (831) 728-2505

55 Plaza Cir
Salinas, CA 93901
Phone (831) 500-6960

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maximiliano Cuevas Individual Corporate DirectorCeo Jul 9, 1980
Michael Victor Individual W-2 Managing EmployeeController Jan 14, 2019
Ruben Jimenez Individual W-2 Managing EmployeeBilling Manager Sep 5, 2018
Jesus Lopez Individual Corporate Director Jan 1, 2015
Rogelio Jacinto Individual Corporate Director Jan 1, 2015
Raymond Gonzalez Individual Corporate Director Jan 1, 2015
Maria Aguilar Individual Corporate Director Jan 1, 2015
Genaro Carlos Individual Corporate Director Jan 1, 2015
Victoria Coley Individual Corporate Director Jan 1, 2015
Ali Chavez Individual Corporate Director Jan 1, 2015
Elizabeth Reyes Individual Corporate Director Jan 1, 2015
Aurelio Gonzalez Individual Corporate Director Jan 1, 2015
Silvana Fiege Individual W-2 Managing EmployeeBilling Supervisor Jan 1, 2015
Josefina Rodriguez Individual Corporate Director Jan 1, 2015
Criselia Serrano Individual Corporate Director Jan 1, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CSVS - Plaza CircleSalinas, CA, CCN A01118 Federally qualified health center Operational/Managerial Control Aug 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1003173279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAZA CIR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012952",
            "telephone_number": "831-757-8689",
            "fax_number": "831-757-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BISHOP ST STE A",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765266",
            "telephone_number": "831-728-2505",
            "fax_number": "831-728-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SALUD DEL VALLE DE SALINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "MAXIMILIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-757-8689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "070000369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oaks, CA

Sources for this page

Verify at the official NPI Registry.