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Aria Community Health Center

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

NPI 1275918674 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1275918674
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ARIA COMMUNITY HEALTH CENTER
Practice address
304 Becky Pease Street
Kettleman City, CA 93239
Phone
(559) 386-4501
NPI assigned
Jul 27, 2015
Organization subpart
Yes
Parent organization (as reported)
ARIA COMMUNITY HEALTH CENTER

Authorized official

Name
John Blaine
Title
Ceo
Phone
(559) 925-8800

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 23

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

Corporate family (same tax ID) 30

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

View all 30

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Federally qualified health center certification: CCN 751844

Legal name
ARIA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 2, 2016
Last certification
Feb 2, 2016
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Mar 19, 1996 in CA
Enrollment address
304 Becky Pease St
Kettleman City, CA 93239-0001

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
Andrew Vera
Individual 		Corporate Director Aug 14, 2025
Teri Boggess
Individual 		Corporate Director Jan 26, 2023
Carolina Jurado-Jimenez
Individual 		Corporate Director Dec 27, 2010
Paul Gonzales
Individual 		Corporate Director Nov 17, 2022
John Blaine
Individual 		Corporate Officer Jan 1, 1996
W-2 Managing Employee Jan 1, 1996
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 Center
Lemoore, 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 209
Lemoore, CA · CCN 751946		 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 1, 2016
Aug 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160216001618 CA Part a Provider - Federally Qualified Health Center (FQHC) 5597782144 Practice locations: Kettleman City, CA

National Provider Directory

Tax ID family
Aria Community Health Center (31 organizations share this tax ID)
Part of
Aria Community Health Center

Specialties & licenses

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

Addresses

Primary practice location

304 Becky Pease Street
Kettleman City, CA 93239

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Other identifiers

IdentifierTypeStateIssuer
751844OtherCAMEDICARE OSCAR CERTIFICATION

Other names

  • Aria Community Health Center Kettleman City Doing business as

Other providers in Kettleman City, CA

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

Sources for this page

Verify at the official NPI Registry.