NPIMap

Organization Active NPI

Valley Healthcare Centers

Doing business as Sequoia Family Medical Center

  • Rural Health Clinic/Center
  • Earlimart, CA
National Provider Identifier
1124643598
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VALLEY HEALTHCARE CENTERS
Doing business as
Sequoia Family Medical Center
Practice address
369 N Church Rd
Earlimart, CA 93219
Phone
(559) 781-3700
Fax
(559) 781-1230
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
John Angell
Title
Cfo
Phone
(559) 306-1352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

369 N Church Rd
Earlimart, CA 93219

Mailing address

590 W Putnam Ave Ste 11
Porterville, CA 93257-3257
Phone (559) 781-3700

Other names 1

  • Sequoia Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200810002324 CA Part A Provider - Rural Health Clinic 7012294630 Practice locations: Earlimart, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124643598. Details of each certification follow.

Rural health clinic certification: CCN 558908

Legal name
VALLEY HEALTHCARE CENTERS
Doing business as
SEQUOIA FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 28, 2020
Last certification
Dec 5, 2023
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Dec 9, 2016 in CA
Enrollment address
396 N Church Rd
Ste 3
Earlimart, CA 93219

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2205747Sequoia Family Medical Center369 North Church Road, Earlimart, CA 93219Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Valley Healthcare Centers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

396 N Church Rd
Ste 3
Earlimart, CA 93219
Phone (559) 306-1352

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
John Angell Individual Corporate OfficerCfo Dec 9, 2016
W-2 Managing EmployeeCfo Dec 9, 2018
Jaisimaran K Sidhu Individual 5% Or Greater Direct Ownership Interest Dec 9, 2016 100%
Corporate OfficerPresident Dec 9, 2016
W-2 Managing EmployeePresident Dec 9, 2016
Valley Healthcare Centers Organization, Porterville, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 9, 2016 100%
Operational/Managerial Control Dec 9, 2016 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Lindsay Family and Pediatrics ClinicLindsay, CA, CCN 058918 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 9, 2016
Sequoia Family Medical CenterLindsay, CA, CCN 558903 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 9, 2016

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1124643598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE STE 11",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-781-3700",
            "fax_number": "559-781-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N CHURCH RD",
            "city": "EARLIMART",
            "state": "CA",
            "postal_code": "93219",
            "telephone_number": "559-781-3700",
            "fax_number": "559-781-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-306-1352"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Earlimart, CA

Sources for this page

Verify at the official NPI Registry.