Family Healthcare Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

120000643 Issued in CA

Legal business name

FAMILY HEALTHCARE NETWORK

Practice address

201 E Lakeview Ave
Woodlake, CA 93286-1301

Phone

(559) 564-0100

Fax

(559) 564-2285

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Hydash

Title

President Ceo

Phone

(559) 737-4731

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 551874

Legal name

FAMILY HEALTHCARE NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 30, 1999

Last certification

Nov 30, 1999

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Jun 29, 1978 in CA

Enrollment address

201 E Lakeview Ave
Woodlake, CA 93286-1301

Other NPIs on the same Medicare enrollment 35

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

• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pixley, CA
  • NPI 1033661558

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Case Manager/Care Coordinator
  • Tulare, CA
  • NPI 1043664766

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1053875484

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1073997201

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1083611156

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1114407244

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1174175012

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1225546575

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1295478212

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Goshen, CA
  • NPI 1336237072

  O20040123000681

  Same enrollment

Locations

All disclosed owners & managing parties 12

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

All facility ownership & control disclosures 15

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

Practitioners 433

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

• Namrata Adhikari, MD

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1174135214

  CA

  Medicare reassignment NPD
• Christina C Agda, LCSW

  • Clinical Social Worker
  • Porterville, CA
  • NPI 1235484817

  CA

  Medicare reassignment NPD
• Shruti Aggarwal, MBBS

  • Family Medicine Physician
  • Red Bluff, CA
  • NPI 1902003734

  CA

  Medicare reassignment NPD
• Vinit Agrawal, MD

  • Internal Medicine Physician
  • Porterville, CA
  • NPI 1639584287

  CA

  Medicare reassignment NPD
• Mohammed Asfhan Ahmed, DO

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1588161483

  CA

  Medicare reassignment NPD
• Humam Alosh, MD

  • Pediatrics Physician
  • Woodlake, CA
  • NPI 1265696975

  CA

  Medicare reassignment NPD
• Ala' Alqudah, M.D.

  • Pediatrics Physician
  • Visalia, CA
  • NPI 1407423668

  CA

  Medicare reassignment NPD
• Katherine Alsobrook, FNP-C

  • Family Nurse Practitioner
  • Hanford, CA
  • NPI 1942879283

  CA

  Medicare reassignment NPD
• Rachel Altman, FNP-C

  • Family Nurse Practitioner
  • Porterville, CA
  • NPI 1154942209

  CA

  Medicare reassignment NPD
• Omar Amer Araim, M.D.

  • Vascular Surgery Physician
  • Visalia, CA
  • NPI 1548474570

  CA

  Medicare reassignment NPD
• Ranjeet Singh Arora

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1982100764

  CA

  Medicare reassignment NPD
• Mary Anjielen Arellano Artille, PA-C

  • Physician Assistant
  • Visalia, CA
  • NPI 1457104085

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1164517744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-734-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAKEVIEW AVE",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861301",
            "telephone_number": "559-564-0100",
            "fax_number": "559-564-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HYDASH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "559-737-4731",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "120000643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70851F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Ceja Corvera, P.A.
• Corey Crooks, PA-C
• Aimee Day, MS
• Erick Madrigal, MD, Mba Inc.
• Stephanie Corann Eskew, CMT
• Teresa Ann Fernandez, MFT TRAINEE
• Foothill Pharmacy Inc.
• Paris Marie Gonzalez
• Dominic Gray
• Darren William Hardy, SCHOOL PSYCHOLOGIST

• All providers in Woodlake, CA
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.