NPIMap

Organization Active NPI

Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ontario, CA
National Provider Identifier
1093369340
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNICARE COMMUNITY HEALTH CENTER INC
Practice address
123 W E St
Ontario, CA 91762-3400
Phone
(909) 988-2555
Fax
(909) 391-3081
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Avetik Machkalyan
Title
Ceo
Phone
(909) 988-2555

Specialties & licenses 1

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

Addresses

Primary practice location

123 W E St
Ontario, CA 91762-3400

Mailing address

437 N Euclid Ave
Ontario, CA 91762-3456
Phone (909) 988-2555

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150623001589 CA Part B Supplier - Clinic/Group Practice 8426369067 Receives reassigned benefits from 141 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colton, CA; Apple Valley, CA; San Bernardino, CA; Riverside, CA; Pomona, CA; Pacoima, CA; Ontario, CA; Los Angeles, CA…
O20250617003524 CA Part A Provider - Federally Qualified Health Center (FQHC) 8426369067 Practice locations: Ontario, CA

Federally qualified health center certification: CCN A01963

Legal name
UNICARE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 30, 2025
Last certification
May 30, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
123 W E St
Ontario, CA 91762-3400

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Unicare Community Health Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Rosio Hobbs Individual Corporate DirectorBoard Secretary Jun 11, 2019
Abraham de Guzman Individual Corporate Director Dec 4, 2019
Avetik Machkalyan Individual Corporate OfficerCeo Oct 1, 2014 100%
W-2 Managing EmployeeAd; May 12, 2025 100%
Sergio Martinez Individual Corporate DirectorBoard Member Mar 10, 2020
Alma R Enciso Individual Corporate DirectorBoard Member Mar 8, 2016
Kassandra Sandoval Individual Corporate Director Aug 10, 2020
Yadira Contreras Individual Corporate Director Jul 11, 2018
Nazeli Nercessian Individual Corporate DirectorBoard Vice Chair Apr 1, 2017
Vaghinak Vasilyan Individual Corporate DirectorBoard Member Jan 14, 2020
Michael Nolfsinger Individual Corporate Director Nov 14, 2017
Martha Zuniga Individual Corporate DirectorBoard Chair Dec 5, 2017

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1093369340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623456",
            "telephone_number": "909-988-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W E ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623400",
            "telephone_number": "909-988-2555",
            "fax_number": "909-391-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MACHKALYAN",
        "authorized_official_first_name": "AVETIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-988-2555"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.