NPIMap

Organization Active NPI

Aria Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
National Provider Identifier
1083274609
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ARIA COMMUNITY HEALTH CENTER
Practice address
591 W Putnam Ave
Porterville, CA 93257-3260
Phone
(559) 784-4727
NPI assigned
Jun 17, 2019
Organization subpart
Yes
Parent organization
ARIA COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
John Blaine
Title
Ceo
Phone
(559) 925-8800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Supports Brokerage Agency 251X00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

591 W Putnam Ave
Porterville, CA 93257-3260

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Other names 1

  • Aria Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806001027 CA Part A Provider - Federally Qualified Health Center (FQHC) 5597782144 Practice locations: Porterville, CA

Federally qualified health center certification: CCN 921164

Legal name
ARIA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2019
Last certification
Jul 1, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 1996 in CA
Enrollment address
591 W Putnam Ave
Porterville, CA 93257-3260

Other NPIs with the same Medicare PAC ID 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Aria Community Health Center31 organizations share this tax ID, including this one
Part of
Aria Community Health Center

Other organizations with this tax ID 30

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

View all 30

Locations

591 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-4727

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Andrew Vera Individual Corporate Director Aug 14, 2025
Teri Boggess Individual Corporate Director Jan 26, 2023
Carolina Jurado-Jimenez Individual Corporate Director Dec 27, 2010
Paul Gonzales Individual Corporate Director Nov 17, 2022
John Blaine Individual Corporate OfficerCeo Jan 1, 1996
W-2 Managing Employee Jan 1, 1996
Delia Vigil Individual Corporate Director Dec 27, 2010
Domenica Sanchez Individual Corporate Director Dec 27, 2010
Alexander Mena Individual Corporate Director Feb 8, 2024
Dawn Bickner Individual Corporate Director Feb 8, 2024
Jenelle Mason Individual Corporate OfficerChief Administrative Officer Mar 21, 2021
W-2 Managing Employee Mar 21, 2021
Operational/Managerial Control Mar 21, 2021
Randy a Beddoe Individual Corporate Director Sep 23, 2013
Horace Steward Individual Corporate Director Jan 11, 2024
Jean Olivier Individual Corporate OfficerCfo Jul 1, 2023
W-2 Managing Employee Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Juanita Elizabeth Jaramillo Individual Corporate Director Dec 27, 2010

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Aria Community Health CenterLemoore, CA, CCN 751139 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 24, 2014
Feb 24, 2014
Aria Community Health Center Lemoore 209Lemoore, CA, CCN 751946 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 1, 2016
Aug 1, 2016

Owned or controlled facilities with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1083274609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500",
            "fax_number": "559-282-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573260",
            "telephone_number": "559-784-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIA COMMUNITY HEALTH CENTER",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BLAINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-925-8800"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aria Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.