NPIMap

Organization Active NPI

Valley Health Team Inc

  • Federally Qualified Health Center (FQHC)
  • Kerman, CA
National Provider Identifier
1073880126
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH TEAM INC
Practice address
942 S Madera Ave
Kerman, CA 93630-1743
Phone
(559) 846-9150
Fax
(559) 846-9157
NPI assigned
Nov 17, 2011
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mrs. Soyla A Reyna-Griffin, CPA
Title
Ceo
Phone
(559) 693-2462

Specialties & licenses 1

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

Addresses

Primary practice location

942 S Madera Ave
Kerman, CA 93630-1743

Mailing address

PO Box 737
21890 Colorado Ave
San Joaquin, CA 93660-0737
Phone (559) 693-2462

Other names 1

  • Kerman Dental Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616002370 CA Part A Provider - Federally Qualified Health Center (FQHC) 2365588902 Practice locations: Kerman, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073880126. Details of each certification follow.

Federally qualified health center certification: CCN 921879

Legal name
VALLEY HEALTH TEAM, INC.
Doing business as
KERMAN DENTAL CENTER / VALLEY OPTOMETRIC CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 2020
Last certification
May 13, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1973 in CA
Enrollment address
942 S Madera Ave
Kerman, CA 93630-1743

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Health Center25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Ted Ang Avena Individual Corporate OfficerChief Financial Officer Aug 1, 2024
Joann R Minnite Individual Corporate DirectorBoard Treasurer May 16, 2002
Jose E Ramos Individual Corporate DirectorBoard Member Nov 16, 2000
Mary H Reynaga Individual Corporate DirectorBoard Secretary Jan 28, 1998
Valley Health Team, Inc. Organization, San Joaquin, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 26, 2012 100%
Operational/Managerial Control Mar 26, 2012 100%
Husam Salem Kaileh Individual Corporate OfficerCmo Chief Medical Officer Aug 1, 1995
Gurpriet S Sran Individual Corporate DirectorBoard Member Nov 20, 2014
Linda Amparano Individual Corporate DirectorBoard Member Jan 24, 2022
Soyla a Reyna-Griffin Individual Corporate OfficerCeo Nov 16, 2007 100%
Cynthia Valle Perez Morales Individual W-2 Managing EmployeeHealth Center Manager Jun 21, 2021
Surjit Virdi Individual Corporate DirectorBoard President Jul 25, 2013
Maggie J Rubio Individual Corporate DirectorBoard Member Jun 21, 2007
Sundeep Singh Gill Individual Corporate OfficerChief Quality & Informatics Officer Jun 3, 2019
Sharon Ann Medigovich-Johnson Individual Corporate OfficerChief Operations Officer Jan 20, 2011
Amirt Paul Brar Individual Corporate DirectorBoard Member Jan 20, 2011
Mary Ellen Pumarejo Individual Corporate DirectorBoard Vice President Feb 26, 2015
Rod Alan Davison Individual Corporate OfficerChief Information Officer Sep 16, 2024

Owners & managing parties with NPI records 11

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

  • Husam S. Kaileh, M.D.
    • Family Medicine Physician
    • San Joaquin, CA
    • NPI 1700920899

    Corporate Officer

    CMS ownership
  • Valley Health Team Inc

    dba Kingsburg Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kingsburg, CA
    • NPI 1033598412

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Kerman Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1194068379

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Clovis Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Clovis, CA
    • NPI 1750703237

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc.

    dba Central Fresno Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Fresno, CA
    • NPI 1992183669

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Bishop Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bishop, CA
    • NPI 1508465303

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Dinuba Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Dinuba, CA
    • NPI 1588171383

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Kerman Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1962567388

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Golden Plans Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Tranquility, CA
    • NPI 1407347941

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Firebaugh Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Firebaugh, CA
    • NPI 1558638601

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba San Joaquin Health Center

    • Federally Qualified Health Center (FQHC)
    • San Joaquin, CA
    • NPI 1598821027

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Firebaugh Community Health CenterFirebaugh, CA, CCN 551176 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2022
Dec 1, 2022
Kerman Unified School District Community Health CenterKerman, CA, CCN 751043 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 28, 1973
Jun 28, 1973
Clovis Community Health CenterClovis, CA, CCN 751087 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 2, 2014
Jun 2, 2014
Kingsburg Community Health CenterKingsburg, CA, CCN 751894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 5, 2023
Jun 5, 2023
Central Fresno Community Health CenterFresno, CA, CCN 921042 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 13, 2017
Nov 13, 2017
Dinuba Community Health CenterDinuba, CA, CCN 921129 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2018
Sep 11, 2018
Golden Plains Unified School District Community Health CenterTranquillity, CA, CCN 921915 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 29, 2020
Jun 29, 2020
Valley Health Team, Inc.Bishop, CA, CCN 921958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012

Owned or controlled facilities with NPI records 8

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

  • Valley Health Team Inc

    dba Kingsburg Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kingsburg, CA
    • NPI 1033598412

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Kerman Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1194068379

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Clovis Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Clovis, CA
    • NPI 1750703237

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc.

    dba Central Fresno Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Fresno, CA
    • NPI 1992183669

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Bishop Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bishop, CA
    • NPI 1508465303

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Valley Health Team, Inc

    dba Dinuba Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Dinuba, CA
    • NPI 1588171383

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Golden Plans Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Tranquility, CA
    • NPI 1407347941

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Firebaugh Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Firebaugh, CA
    • NPI 1558638601

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1073880126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "address_2": "21890 COLORADO AVE",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-693-2462",
            "fax_number": "559-693-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301743",
            "telephone_number": "559-846-9150",
            "fax_number": "559-846-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "REYNA-GRIFFIN",
        "authorized_official_first_name": "SOYLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-693-2462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerman Dental Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kerman Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.