NPIMap

Organization Active NPI

Aria Community Health Center

Doing business as Aria Community Health Center Riverdale

  • Federally Qualified Health Center (FQHC)
  • Riverdale, CA
National Provider Identifier
1154736429
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
Doing business as
Aria Community Health Center Riverdale
Practice address
3554 W. Mt. Whitney Avenue
Riverdale, CA 93656
Phone
(559) 867-4000
NPI assigned
Jun 25, 2014
Last updated
Sep 2, 2025By the provider in NPPES
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 1

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

Addresses

Primary practice location

3554 W. Mt. Whitney Avenue
Riverdale, CA 93656

Mailing address

PO Box 700
Avenal, CA 93204-0700
Phone (559) 386-4500

Other names 1

  • Aria Community Health Center Riverdale Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107000910 CA Part A Provider - Federally Qualified Health Center (FQHC) 5597782144 Practice locations: Riverdale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154736429. Details of each certification follow.

Federally qualified health center certification: CCN 751104

Legal name
ARIA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 7, 2014
Last certification
Nov 7, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 1996 in CA
Enrollment address
3554 W. Mt. Whitney Ave
Riverdale, CA 93656-9798

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

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
05D2169920Aria Community Health Center Riverdale3554 W Mt Whitney, Riverdale, CA 93656Certificate of waiverJul 29, 2027

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

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
Teri Boggess Individual Corporate Director Jan 26, 2023
Lissette Yadira Padilla Individual Corporate Director May 31, 2018
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
Corporate Director Jan 1, 1996
W-2 Managing Employee Jan 1, 1996
Operational/Managerial ControlCeo Jan 1, 1996 100%
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 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 Officer 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.

  • Aria Community Health Center

    dba Aria Community Health Center Lemoore 209

    • Federally Qualified Health Center (FQHC)
    • Lemoore, CA
    • NPI 1669929543

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Aria Community Health Center
    • Federally Qualified Health Center (FQHC)
    • Lemoore, CA
    • NPI 1932169240

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avenal Community Health Center

    dba Aria Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lemoore, CA
    • NPI 1225387616

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1154736429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932040700",
            "telephone_number": "559-386-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 W. MT. WHITNEY AVENUE",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "93656",
            "telephone_number": "559-867-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIA COMMUNITY HEALTH CENTER",
        "enumeration_date": "2014-06-25",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aria Community Health Center Riverdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, CA

Sources for this page

Verify at the official NPI Registry.