Frontier Village Family Health Center, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FRONTIER VILLAGE FAMILY HEALTH CENTER, INC

Practice address

645 Antelope Blvd Ste 24
Red Bluff, CA 96080-2463

Phone

(530) 528-7650

Fax

(530) 528-7655

NPI assigned

Aug 18, 2006

Last updated

Aug 8, 2014By 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

Dr. Jagraj S Nijjar, MD

Title

President/Ceo

Phone

(530) 528-7650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Colusa Medical Center, LLC

  • Rural Health Clinic/Center
  • Red Bluff, CA
  • NPI 1972072163

  Sold to, 2019-01-01

  CMS change of ownership

Practitioners 2

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.

• Jessie E Corpus, P.A.

  • Medical Physician Assistant
  • Orland, CA
  • NPI 1245272046
  NPD
• James Richard Pearson Jr., PAC

  • Medical Physician Assistant
  • Corning, CA
  • NPI 1598756942
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1477667384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ANTELOPE BLVD STE 24",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802463",
            "telephone_number": "530-528-7650",
            "fax_number": "530-528-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ANTELOPE BLVD STE 24",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802463",
            "telephone_number": "530-528-7650",
            "fax_number": "530-528-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER VILLAGE FAMILY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "NIJJAR",
        "authorized_official_first_name": "JAGRAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "530-528-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberli Frantz, MD
• Timothy Drew Frantz, MD
• Lisa Freeze, AA SOCIAL SCIE, MHRS
• Sheila Froebe
• Michael Gregory Froke
• Jack L Fry, DDS
• Spencer Fullmer
• Cynthia Louise Funderburk
• Nick Hadrian Gabriel, D.O.
• Savannah Gafford

• Rural Health Clinic/Center in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.