Organization Active NPI

Valley Health Team, Inc.

Doing business as Golden Plans Unified School District Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Tranquility, CA
National Provider Identifier
1407347941
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH TEAM, INC.
Doing business as
Golden Plans Unified School District Community Health Center
Practice address
6171 S. Daniels Ave
Tranquility, CA 93668
Phone
(559) 693-2462
Fax
(559) 693-4382
NPI assigned
May 21, 2018
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH TEAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Cindy Simonic
Title
Billing Manager
Phone
(559) 364-2938

Specialties & licenses 1

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

Addresses

Primary practice location

6171 S. Daniels Ave
Tranquility, CA 93668

Mailing address

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 693-2462

Other names 1

  • Golden Plans Unified School District Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426002414 CA Part A Provider - Federally Qualified Health Center (FQHC) 2365588902 Practice locations: Tranquillity, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407347941. Details of each certification follow.

Federally qualified health center certification: CCN 921915

Legal name
VALLEY HEALTH TEAM, INC.
Doing business as
GOLDEN PLAINS UNIFIED SCHOOL DISTRICT COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 31, 2021
Last certification
Mar 31, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1973 in CA
Enrollment address
6171 S Daniels Ave
Tranquillity, CA 93668-9765

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Health Center25 organizations share this tax ID, including this one
Part of
San Joaquin Health Center

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Ted Ang Avena Individual Corporate OfficerChief Financial Officer Aug 1, 2024
Joann R Minnite Individual Corporate DirectorBoard Treasurer May 16, 2002
Satnam S Bangar Individual Corporate OfficerChief Medical Officer May 1, 2026
Jose E Ramos Individual Corporate DirectorBoard Member Nov 16, 2000
Melissa Lopez Individual W-2 Managing EmployeeRegional Director of Operations Nov 13, 2017
Mary H Reynaga Individual Corporate DirectorBoard Member Jan 28, 1998
Valley Health Team, Inc. Organization, Tranquillity, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 29, 2020 100%
Operational/Managerial Control Jun 29, 2020 100%
Gurpriet S Sran Individual Corporate DirectorBoard Member Nov 20, 2014
Linda Amparano Individual Corporate DirectorBoard Member Jan 24, 2022
Amy Fernandez-Garfield Individual Corporate DirectorBoard Member Nov 20, 2025
Soyla a Reyna-Griffin Individual Corporate OfficerCeo Nov 16, 2007 100%
Surjit Virdi Individual Corporate DirectorBoard President Jul 25, 2013
Maggie J Rubio Individual Corporate DirectorBoard Member Jun 21, 2007
Sundeep Singh Gill Individual Corporate OfficerChief Quality & Informatics Officer Jun 3, 2019
Sharon Ann Medigovich-Johnson Individual Corporate OfficerCoo Aug 1, 1995
Amirt Paul Brar Individual Corporate DirectorBoard Member Jan 20, 2011
Mary Ellen Pumarejo Individual Corporate DirectorBoard Vice President Feb 26, 2015
Rod Alan Davison Individual Corporate OfficerChief Information Officer Sep 16, 2024

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Firebaugh Community Health CenterFirebaugh, CA, CCN 551176 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Dec 1, 2022
Dec 1, 2022
Kerman Unified School District Community Health CenterKerman, CA, CCN 751043 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 28, 1973
Jun 28, 1973
Clovis Community Health CenterClovis, CA, CCN 751087 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 2, 2014
Jun 2, 2014
Kingsburg Community Health CenterKingsburg, CA, CCN 751894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 5, 2023
Jun 5, 2023
Central Fresno Community Health CenterFresno, CA, CCN 921042 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Nov 13, 2017
Nov 13, 2017
Dinuba Community Health CenterDinuba, CA, CCN 921129 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 1, 2018
Sep 11, 2018
Kerman Dental Center / Valley Optometric CenterKerman, CA, CCN 921879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 26, 2012
Mar 26, 2012
Valley Health Team, Inc.Bishop, CA, CCN 921958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1407347941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-693-2462",
            "fax_number": "559-364-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 S. DANIELS AVE",
            "city": "TRANQUILITY",
            "state": "CA",
            "postal_code": "93668",
            "telephone_number": "559-693-2462",
            "fax_number": "559-693-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH TEAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH TEAM, INC.",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SIMONIC",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "559-364-2938"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Plans Unified School District Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Plans Unified School District Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tranquility, CA

Sources for this page

Verify at the official NPI Registry.