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Valley Healthcare Centers

Organization Active NPI Rural Health Clinic/Center · Earlimart, CA

NPI 1124643598 · NPPES record last updated Jun 11, 2020

Key facts

NPI
1124643598
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
VALLEY HEALTHCARE CENTERS
Practice address
369 N Church Rd
Earlimart, CA 93219
Phone
(559) 781-3700
Fax
(559) 781-1230
NPI assigned
Jun 11, 2020
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 4

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

Facilities with the same owner 2

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

Practitioners 15

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

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
Corporation · Proprietary
Incorporated
Dec 9, 2016 in CA
Enrollment address
396 N Church Rd
Ste 3
Earlimart, CA 93219

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 Officer
Cfo		 Dec 9, 2016
W-2 Managing Employee
Cfo		 Dec 9, 2018
Jaisimaran K Sidhu
Individual 		5% Or Greater Direct Ownership Interest Dec 9, 2016 100%
Corporate Officer
President		 Dec 9, 2016
W-2 Managing Employee
President		 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%

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 Clinic
Lindsay, CA · CCN 058918		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 9, 2016
Sequoia Family Medical Center
Lindsay, CA · CCN 558903		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 9, 2016

Medicare enrollment records

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

National Provider Directory

Tax ID family
Valley Healthcare Centers (5 organizations share this tax ID)

Locations

252 N Highway 65
Lindsay, CA 93247
Phone (559) 302-8000

590 W Putnam Ave
Ste 11
Porterville, CA 93257
Phone (559) 781-4100

Specialties & licenses

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

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

  • Sequoia Family Medical Center Doing business as

Other providers in Earlimart, CA

All providers in Earlimart, CA · Rural Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.