Omni Family Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Shafter, CA
NPI 1336327154 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1336327154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- CLP320413 (CA)
- Legal business name
- OMNI FAMILY HEALTH
- Practice address
- 659 S Central Valley Hwy
Shafter, CA 93263 - Phone
- (661) 459-1900
- Fax
- (661) 459-1974
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Francisco L Castillon
- Title
- Chief Executive Officer
- Phone
- (661) 630-7050
Corporate family (same tax ID) 24
Practitioners 1
National Provider Directory
- Tax ID family
- National Heath SVCS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CLP320413 | CA | Yes |
| Clinical Medical Laboratory | 291U00000X | CLP 320413 | CA |
Addresses
Primary practice location
659 S Central Valley Hwy
Shafter, CA 93263
Mailing address
4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0918896 | Medicaid | CA |
Other names
- National Health Cervices, INC
Other providers in Shafter, CA
- Christian O'Brian Munoz
- Monica Jeannemarian Murphy
- National Heath Services
- Adena Nguyen
- Olivia Park Dental Corporation
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
All providers in Shafter, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.