Family Healthcare Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

550000368 Issued in CA

Legal business name

FAMILY HEALTHCARE NETWORK

Practice address

250 W 5TH St
Hanford, CA 93230

Phone

(559) 587-4532

NPI assigned

Jan 17, 2007

Last updated

Oct 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Hydash

Title

Presiden Ceo

Phone

(559) 737-4731

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467504530. Details of each certification follow.

• CCN 051091 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 051091

Legal name

FAMILY HEALTHCARE NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 13, 2007

Last certification

Jun 13, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 29, 1978 in CA

Enrollment address

250 W 5TH St
Hanford, CA 93230-5029

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pixley, CA
  • NPI 1033661558

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Case Manager/Care Coordinator
  • Tulare, CA
  • NPI 1043664766

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1053875484

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1073997201

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1083611156

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1114407244

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1174175012

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1225546575

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1295478212

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819

  O20040123000681

  Same enrollment

Locations

All disclosed owners & managing parties 12

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

All facility ownership & control disclosures 15

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

Practitioners 43

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.

• Adam Ahmed Jr., PA-C

  • Physician Assistant
  • Hanford, CA
  • NPI 1598489114

  Multi-Specialty

  NPD
• Katherine Alsobrook, FNP-C

  • Family Nurse Practitioner
  • Hanford, CA
  • NPI 1942879283
  NPD
• Adriana Arzate, PA-C

  • Physician Assistant
  • Emeryville, CA
  • NPI 1437620366
  NPD
• Steven Ayala, ASW

  • Mental Health Counselor
  • Dinuba, CA
  • NPI 1205118809
  NPD
• Sayed Mohammed Basel, M.D.

  • Obstetrics & Gynecology Physician
  • Hanford, CA
  • NPI 1851732622
  NPD
• Jasleen Kaur Brar, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1932622206

  Multi-Specialty

  NPD
• Sirinoot CH'NG, MD

  • Pediatrics Physician
  • Hanford, CA
  • NPI 1851742290
  NPD
• Venkata Sushma Chamarthi, M.D.

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1952741407

  Multi-Specialty

  NPD
• Evon G Czok, FNP-C

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1861630899
  NPD
• Michael R. Darius, PA-C

  • Physician Assistant
  • Hanford, CA
  • NPI 1992761449
  NPD
• Benjamin Davis, NP-C

  • Family Nurse Practitioner
  • Hanford, CA
  • NPI 1780233916
  NPD
• Veronica Dieuhien Vo Devito, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1124489877
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1467504530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-734-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 5TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-587-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "HYDASH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDEN CEO",
        "authorized_official_telephone_number": "559-737-4731",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "CA",
            "license": "550000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "managedcare@fhcn.org",
            "affiliation": "N",
            "endpointDescription": "Managed Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 W 5th St",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Annette Fagundes
• Irma Fain
• Oscar Saul Fajardo Gomez, M.D.
• Andrea Faldon
• Family Builders Foster Care Inc.
• Family Healthcare Network
• Family Healthcare Network
• Fareid and Mokbil Dental Corporation (Dentists of Hanford Dental Group)
• Marie Isabel Fazzone, LMFT
• Maria Teresa Fejzo

• Federally Qualified Health Center (FQHC) in Hanford, CA
• Providers in Hanford, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.