NPIMap

Organization Active NPI

Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Greenfield, CA
National Provider Identifier
1043351133
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
070000310 Issued in CA
Legal business name
CLINICA DE SALUD DEL VALLE DE SALINAS
Practice address
808 Oak Ave
Greenfield, CA 93927-5648
Phone
(831) 674-5344
Fax
(831) 674-5214
NPI assigned
Feb 9, 2007
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 070000310 CA Primary

Addresses

Primary practice location

808 Oak Ave
Greenfield, CA 93927-5648

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
FHC70484FMedicaidCA

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
O20100528000398 CA Part A Provider - Federally Qualified Health Center (FQHC) 3678513736 Practice locations: Greenfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043351133. Details of each certification follow.

Federally qualified health center certification: CCN 051957

Legal name
CLINICA DE SALUD DEL VALLE DE SALINAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1995
Last certification
Jul 1, 1995
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 1990 in CA
Enrollment address
808 Oak Avenue
Greenfield, CA 93927-5648

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
Tax ID family
Clinica de Salud del VA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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 Jan 2, 1995
Operational/Managerial ControlCeo Jan 2, 1995
Michael Victor Individual Corporate Director Jan 14, 2019
W-2 Managing EmployeeController Jan 14, 2019
Ruben Jimenez Individual W-2 Managing EmployeeBilling Manager Sep 5, 2018
Jesus Lopez Individual Corporate DirectorBoard Member Jan 2, 2005
Rogelio Jacinto Individual Corporate DirectorBoard Member Jan 2, 1995
Raymond Gonzalez Individual Corporate DirectorBoard Member Jan 2, 1997
Maria Aguilar Individual Corporate OfficerBoard Member Jan 2, 2008
Genaro Carlos Individual Corporate DirectorBoard Member Jan 2, 1997
Victoria Coley Individual Corporate Director Feb 7, 2019
Ali Chavez Individual Corporate DirectorBoard Member Jan 2, 1998
Elizabeth Reyes Individual Corporate DirectorBoard Member Jan 2, 1998
Aurelio Gonzalez Individual Corporate DirectorBoard Member Oct 7, 2010
Silvana Fiege Individual W-2 Managing EmployeeBilling Supervisor Jan 12, 2009
Josefina Rodriguez Individual Corporate DirectorBoard Member Jan 2, 1997
Criselia Serrano Individual Corporate DirectorBoard Member Jan 2, 2008

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 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1043351133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAZA CIR STE A",
            "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": "808 OAK AVE",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275648",
            "telephone_number": "831-674-5344",
            "fax_number": "831-674-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SALUD DEL VALLE DE SALINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "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": "070000310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70484F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, CA

Sources for this page

Verify at the official NPI Registry.