NPIMap

Organization Active NPI

United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Kerman, CA
National Provider Identifier
1285843128
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
040000380 Issued in CA
Legal business name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Practice address
517 S Madera Ave
Kerman, CA 93630-1523
Phone
(559) 846-6330
Fax
(559) 846-5553
NPI assigned
May 21, 2007
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Ms. Colleen Curtis
Title
Ceo
Phone
(559) 646-6618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 040000380 CA Primary

Addresses

Primary practice location

517 S Madera Ave
Kerman, CA 93630-1523

Mailing address

PO Box 790
Parlier, CA 93648-0790
Phone (559) 646-3561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000408 CA Part A Provider - Federally Qualified Health Center (FQHC) 5991727802 Practice locations: Kerman, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285843128. Details of each certification follow.

Federally qualified health center certification: CCN 051929

Legal name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 4, 1994
Last certification
Aug 4, 1994
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 15, 1971 in CA
Enrollment address
517 S Madera Ave
Kerman, CA 93630-1523

National Provider Directory

National Provider Directory
Tax ID family
Robert Wageneck DO91 organizations share this tax ID, including this one

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.

View all 24

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Esther Nicacio Individual Corporate DirectorBoard Member May 27, 2010
Manuel a Angulo Individual Corporate DirectorBoard Member Apr 24, 2008
Ana Maria Villareal Individual Corporate DirectorBoard Member Sep 30, 2009
Veronica Morales Individual Corporate DirectorBoard Member Oct 23, 2008
William Williams Individual Corporate DirectorBoard Member Nov 1, 2012
Ofelia Garcia Individual Corporate DirectorBoard Member Mar 31, 2011
Itze a Morales Individual Corporate DirectorBoard Member Oct 7, 2008
Adriana R Padilla Individual Corporate DirectorBoard Member Jan 28, 2006
Navjot Singh Individual W-2 Managing EmployeeDirector of Managed Care Jun 4, 2017
Florence Espinoza Individual Corporate DirectorBoard Member Nov 7, 2008
Ronald Hoggard Individual Corporate DirectorBoard Member Feb 23, 2012
Colleena L Curtis Individual Corporate OfficerCeo Apr 24, 2002
Justin W Preas Individual Corporate Officer Apr 25, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
United Health Centers of the San Joaquin ValleyCorcoran, CA, CCN 751010 Federally qualified health center Operational/Managerial Control (100%) Feb 21, 2012
United Health Centers of the San Joaquin ValleyReedley, CA, CCN 751086 Federally qualified health center Operational/Managerial Control Jun 23, 2014
United Health Centers of the San Joaquin ValleyFresno, CA, CCN 751895 Federally qualified health center Operational/Managerial Control Apr 10, 2023
United Health Centers of the San Joaquin ValleyFresno, CA, CCN 751930 Federally qualified health center Operational/Managerial Control Dec 8, 2015
United Health Centers of the San Joaquin ValleySanger, CA, CCN 921076 Federally qualified health center Operational/Managerial Control Feb 28, 2018
United Health Centers of the San Joaquin ValleyLemoore, CA, CCN 921073 Federally qualified health center Operational/Managerial Control Apr 19, 2018
United Health Centers of the San Joaquin ValleyFowler, CA, CCN A01933 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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1285843128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936480790",
            "telephone_number": "559-646-3561",
            "fax_number": "559-646-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301523",
            "telephone_number": "559-846-6330",
            "fax_number": "559-846-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-646-6618",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "040000380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.