Omni Family Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Lindsay, CA

NPI 1194201376 · NPPES record last updated Jul 8, 2025

Key facts

NPI
1194201376
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
OMNI FAMILY HEALTH
Practice address
860 Sequoia Avenue
Lindsay, CA 93247-1425
Phone
(866) 707-6664
Fax
(661) 459-1974
NPI assigned
Jul 11, 2018
Organization subpart
No

Authorized official

Name
Mr. Francisco L Castillon
Title
Chief Executive Officer
Phone
(661) 630-7045

Other NPIs on the same Medicare enrollment 41

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

View all 41

Practitioners 6

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Federally qualified health center certification: CCN 921191

Legal name
OMNI FAMILY HEALTH
Certification status
Terminated Voluntary: merger or closure, Feb 6, 2025
Provider type (POS)
Federally qualified health center
Participating since
Sep 9, 2019
Last certification
Sep 9, 2019
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 9, 1978 in CA
Enrollment address
860 Sequoia Ave
Lindsay, CA 93247-1425

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.

NameRoleSinceShare
Susan Watkins
Individual
Corporate Director
Board Member
Nov 5, 2013
David Brust
Individual
Corporate Director
Board Member
Aug 8, 2016
Cynthia D Stewart
Individual
W-2 Managing Employee
Director of Managed Care
Aug 5, 2018
Francisco L Castillon
Individual
Corporate Officer
Chief Executive Officer
Oct 1, 2010
W-2 Managing Employee
Chief Executive Officer
Oct 1, 2010
Manuel Flores
Individual
Corporate Director
Board Member
Aug 4, 2015
Ruben Garcia
Individual
Corporate Director
Board Member
Oct 1, 2019
Richard Sepulveda
Individual
Corporate Director
Board Member
Feb 6, 2018
Kassandra Biviano
Individual
Corporate Director
Board Member
Dec 7, 2021
Irma Montemayor
Individual
Corporate Director
Board Member
Jan 12, 2021
John Sanchez
Individual
Corporate Director
Board Member
Dec 7, 2021
Yolanda a Serna
Individual
Corporate Director
Board Member
Jun 10, 2014
William Nyitray
Individual
Corporate Director
Board Member
Nov 7, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050411000986 CA Part B Supplier - Clinic/Group Practice 9234176363 Receives reassigned benefits from 185 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA; Hanford, CA; Lindsay, CA; Lost Hills, CA; Reedley, CA; Ridgecrest, CA; Shafter, CA; Taft, CA…
O20190806003621 CA Part a Provider - Federally Qualified Health Center (FQHC) 9234176363 Practice locations: Lindsay, CA

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

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

Addresses

Primary practice location

860 Sequoia Avenue
Lindsay, CA 93247-1425

Mailing address

4900 California Avenue
400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

Other providers in Lindsay, CA

All providers in Lindsay, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.