Active NPI
Community Health Centers of America
- Federally Qualified Health Center (FQHC)
- McFarland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMMUNITY HEALTH CENTERS OF AMERICA
- Practice address
- 733 3Rd St
MC Farland, CA 93250-1008 - Phone
- (661) 792-3097
- Fax
- (661) 792-3095
- NPI assigned
- Oct 6, 2025
- Last updated
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Dole
- Title
- Manager
- Phone
- (209) 441-8383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
733 3Rd St
MC Farland, CA 93250-1008
Mailing address
PO Box 3091
Modesto, CA 95353-3091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230301002819 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 3476813460 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: MC Farland, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1134094626. Details of each certification follow.
Federally qualified health center certification: CCN 051960
- Legal name
- COMMUNITY HEALTH CENTERS OF AMERICA
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 14, 2023
- Last certification
- Feb 14, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- May 25, 2016 in CA
- Enrollment address
- 733 3Rd St
MC Farland, CA 93250-1008
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
O20230301002819
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Centers of
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
- Community/Retail Pharmacy
- Livingston, CA
- NPI 1275172975
-
- Federally Qualified Health Center (FQHC)
- Chowchilla, CA
- NPI 1275408767
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shantaraju Policepatil | Corporate Officer | Apr 17, 2021 | |
| Gurdeep Singh | Corporate Officer | May 26, 2016 | |
| W-2 Managing Employee | May 26, 2016 | ||
| Nandeesh Veerappa | Corporate Officer | May 26, 2016 | |
| Mrutyuniaya Hiremath | Corporate Officer | Mar 1, 2018 | |
| Lodeman Baza | Corporate Director | Mar 1, 2018 | |
| Connie Collins | Corporate Director | Mar 1, 2018 | |
| Rebecca Troy | Corporate Director | Nov 10, 2021 | |
| Gail Joanne Pioski | Corporate Director | Mar 1, 2018 | |
| Prashant Venkataiah | Corporate Director | Nov 1, 2021 | |
| Elizabeth Broomfield | Corporate Director | Mar 20, 2021 | |
| Isabel Crutchfield | Corporate Director | Dec 15, 2019 | |
| Hurbert Daniel | Corporate Director | Nov 27, 2021 | |
| Naresh Channaveerappa | Corporate Officer | May 26, 2016 | |
| Luis Orellana | Corporate Director | Mar 20, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Merced, CA
- NPI 1821607797
Corporate Officer, W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1134094626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3091",
"city": "MODESTO",
"state": "CA",
"postal_code": "953533091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 3RD ST",
"city": "MC FARLAND",
"state": "CA",
"postal_code": "932501008",
"telephone_number": "661-792-3097",
"fax_number": "661-792-3095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CENTERS OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "DOLE",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "209-441-8383"
},
"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 McFarland, CA
- Carlo Amazona, MD
- Lakir P Amin
- Clinica Sierra Vista (McFarland Community Health Center)
- Clinica Sierra Vista (Mc Farland Community Health Center)
- Clinica Sierra Vista (McFarland Community Health Center)
- Succura Malicca Davis, FNP
- Jaskiranjit Dhami
- Eminence Healthcare, Inc.
- Eminence Healthcare, Inc.
- Esmerlda Garza Rdhap Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.