NPIMap

Organization Active NPI

United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1457724924
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Practice address
2848 W Ashlan Ave
Fresno, CA 93705-1757
Phone
(800) 492-4227
Fax
(559) 646-6614
NPI assigned
Nov 5, 2015
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Mary Lou Lopez
Title
Director of Billing
Phone
(800) 492-4227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2848 W Ashlan Ave
Fresno, CA 93705-1757

Mailing address

3875 W Beechwood Ave
Fresno, CA 93711-0795
Phone (559) 646-6618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160606002295 CA Part A Provider - Federally Qualified Health Center (FQHC) 5991727802 Practice locations: Fresno, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457724924. Details of each certification follow.

Federally qualified health center certification: CCN 751895

Legal name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 14, 2016
Last certification
Jun 14, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1971 in CA
Enrollment address
2848 W Ashlan Ave
Fresno, CA 93705-1757

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284350United Health Centers of the San Joaquin Valley2848 W Ashlan Ave, Fresno, CA 93705Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
United Health Centers S91 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

Locations

601 3rd St
Parlier, CA 93648
Phone (559) 368-8085

Ownership & related parties

All disclosed owners & managing parties 17

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 Director May 27, 2010
Irma Cruz Individual Corporate DirectorBoard Director Mar 1, 2013
Jesus Rafael Maldonado Hernandez Individual Corporate OfficerCfo Nov 2, 2015
United Health Centers of the San Joaquin Valley Organization, Fresno, CA Corporation, Non-profit Operational/Managerial Control Apr 10, 2023
Ofelia Garcia Individual Corporate DirectorBoard Director Mar 31, 2011
Sarah Guerra Individual Corporate DirectorBoard Vice Chair Jan 1, 2018
Edna L Avalos Individual Corporate DirectorBoard Member Jan 1, 2018
Beatrice Perez Individual Corporate OfficerClinical Services Officer Mar 3, 1988
Nathan Williams Individual Corporate DirectorBoard Member, Treasurer Sep 1, 2018
John Shantz Individual Corporate DirectorBoard Member, Board Chair Apr 1, 2015
Navjot Singh Individual W-2 Managing EmployeeDirector of Managed Care Jun 5, 2017
Jose Gutierrez Individual Corporate DirectorBoard Member Aug 1, 2020
Irma Cruz Individual Corporate DirectorBoard Member Oct 1, 2021
Raul Venegas Individual Corporate OfficerCio Sep 3, 2006
Nicole Thompson Individual Corporate DirectorBoard Member Nov 1, 2020
Colleena L Curtis Individual Corporate OfficerPresident & Ceo Apr 24, 2002
Justin W Preas Individual Corporate OfficerDeputy Ceo Apr 25, 2005

All facility ownership & control disclosures 6

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 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

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1457724924",
    "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": "937110795",
            "telephone_number": "559-646-6618",
            "fax_number": "559-646-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 W ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051757",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.