Omni Family Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Shafter, CA
NPI 1366463085 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1366463085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 120000652 (CA)
- Legal business name
- OMNI FAMILY HEALTH
- Practice address
- 655 S. Central Valley Hwy
Shafter, CA 93263-2790 - Phone
- (866) 707-6664
- Fax
- (661) 746-9197
- NPI assigned
- Jul 21, 2006
- 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
Practitioners 10
-
Aaron Scott Currie, PHYSICIAN ASSISTANT
-
Balwinder Dhillon, FNP
-
Maria Antonia Garcia, PNP
-
Juan Carlos Gutierrez, D.C.
-
Ania Jafaryan, DDS
-
Amandeep Kaur, P.A.-C.
-
Sherwin Yu Yee Loo, D.C
-
Agnes Gan Ong, D.M.D.
-
Ramya M Sarva, M.D.,
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, WI
Federally qualified health center certification: CCN 551849
- Legal name
- OMNI FAMILY HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 15, 1998
- Last certification
- Jul 15, 1998
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 9, 1978 in CA
- Enrollment address
- 655 S Central Valley Hwy
Shafter, CA 93263-2790
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Watkins |
Corporate Officer |
Nov 5, 2013 | |
| David Brust |
Corporate Officer |
Aug 8, 2016 | |
| Francisco L Castillon |
Corporate Officer |
Oct 1, 2010 | |
| W-2 Managing Employee |
Oct 1, 2010 | ||
| Operational/Managerial Control | Oct 1, 2010 | ||
| Manuel Flores |
Corporate Officer |
Aug 4, 2015 | |
| Ruben Garcia |
Corporate Officer |
Oct 1, 2019 | |
| Richard Sepulveda |
Corporate Officer |
Feb 6, 2018 | |
| Kassandra Biviano |
Corporate Officer |
Dec 7, 2021 | |
| Irma Montemayor |
Corporate Officer |
Jan 12, 2021 | |
| John Sanchez |
Corporate Officer |
Dec 7, 2021 | |
| Yolanda a Serna |
Corporate Officer |
Jun 10, 2014 | |
| William Nyitray |
Corporate Officer |
Nov 7, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20100812000456 | WI | Part a Provider - Federally Qualified Health Center (FQHC) | 9234176363 | Practice locations: Shafter, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | 120000652 | CA | Yes |
Addresses
Primary practice location
655 S. Central Valley Hwy
Shafter, CA 93263-2790
Mailing address
4900 California Ave
400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAP70965F | Other | CA | DHCS/FAMILY PACT |
| FHC70965F | Medicaid | CA |
Other names
- National Health Services, Inc
Other providers in Shafter, CA
- National Heath Services
- Adena Nguyen
- Olivia Park Dental Corporation
- Omni Family Health
- Omni Family Health
- 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 Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.