Active NPI
United Health Centers of the San Joaquin Valley
- Federally Qualified Health Center (FQHC)
- Selma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Practice address
- 1201 Rose Ave
Selma, CA 93662-3227 - Phone
- (800) 492-4227
- NPI assigned
- Apr 19, 2019
- Last updated
- Apr 9, 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
- Mary Lou Lopez, CPC
- Title
- Director of Billing
- Phone
- (800) 492-4227
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1201 Rose Ave
Selma, CA 93662-3227
Mailing address
3875 W Beechwood Ave
Fresno, CA 93722
Phone (800) 492-4227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220215001972 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 5991727802 | Practice locations: Selma, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285297754. Details of each certification follow.
Federally qualified health center certification: CCN A01050
- Legal name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 11, 2022
- Last certification
- Feb 11, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Nov 15, 1971 in CA
- Enrollment address
- 1201 Rose Ave
Selma, CA 93662-3227
National Provider Directory
National Provider Directory- Tax ID family
- Robert Wageneck DO
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1184332900
-
- Federally Qualified Health Center (FQHC)
- Mendota, CA
- NPI 1184606634
-
- Federally Qualified Health Center (FQHC)
- Parlier, CA
- NPI 1215143607
-
- Federally Qualified Health Center (FQHC)
- Selma, CA
- NPI 1215416839
-
- Federally Qualified Health Center (FQHC)
- Parlier, CA
- NPI 1215662309
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1215812540
-
- Federally Qualified Health Center (FQHC)
- Sanger, CA
- NPI 1235347972
-
- Federally Qualified Health Center (FQHC)
- Mendota, CA
- NPI 1255540092
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1255549879
-
- Federally Qualified Health Center (FQHC)
- Sanger, CA
- NPI 1255549994
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1265087316
-
- Federally Qualified Health Center (FQHC)
- Firebaugh, CA
- NPI 1275742603
Locations
1201 Rose Ave
Selma, CA 93662
Phone (559) 583-4694
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 |
|---|---|---|---|
| Esther Nicacio | Corporate Director | May 27, 2010 | |
| Manuel a Angulo | Corporate Director | Aug 1, 2015 | |
| Daniel T Parra | Corporate Director | Mar 1, 2017 | |
| Jesus Rafael Maldonado Hernandez | Corporate Officer | Nov 2, 2015 | |
| Ofelia Garcia | Corporate Director | Mar 31, 2011 | |
| Sarah Guerra | Corporate Director | Jan 1, 2018 | |
| Edna L Avalos | Corporate Director | Jan 1, 2018 | |
| Nathan Williams | Corporate Director | Sep 1, 2018 | |
| John Shantz | Corporate Director | Apr 1, 2015 | |
| Navjot Singh | W-2 Managing Employee | Jun 11, 2017 | |
| Jose Gutierrez | Corporate Director | Aug 1, 2020 | |
| Nicole Thompson | Corporate Director | Nov 1, 2020 | |
| Colleena L Curtis | Corporate Officer | Nov 17, 2011 | |
| Justin W Preas | Corporate Officer | Apr 25, 2005 |
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control (100%) | Feb 21, 2012 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Jun 23, 2014 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Apr 10, 2023 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Dec 8, 2015 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Feb 28, 2018 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Apr 19, 2018 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control (100%) | Sep 15, 2016 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1285297754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 W BEECHWOOD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93722",
"telephone_number": "800-492-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ROSE AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623227",
"telephone_number": "800-492-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-19",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "MARY LOU",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "800-492-4227",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, CA
- Juan Francisco Trejo Jr., DPT
- Marissa Kristine Trevino
- Achmed Munir Turay, MD
- Turning Point of Central California, Inc. (Turning Point Selma Rural Mental Health Clinic)
- United Health Centers of the San Joaquin Valley
- Upbeet Nutrition, Inc
- Kesheni Vallabh
- Valley Family Health Center (Maternal & Child Care Center)
- Valley Family Health Center Medical Group, Inc. (Maternal & Child Care Center)
- Leah Valov, RD, CNSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.