United Health Centers of the San Joaquin Valley

Key facts

NPI: 1508075946
Entity type: Organization (NPI type 2)
Primary specialty: Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Practice address: 1133 P St
Firebaugh, CA 93622-2230
Phone: (559) 659-1431
Fax: (559) 659-1810
NPI assigned: May 22, 2007
Organization subpart: No

Authorized official

Name: Mr. Benjamin H Flores
Title: Ceo
Phone: (559) 646-6618

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Federally Qualified Health Center (FQHC)	261QF0400X		CA	Yes

Addresses

Primary practice location

1133 P St
Firebaugh, CA 93622-2230

Mailing address

PO Box 790
Parlier, CA 93648-0790
Phone (559) 646-3561

Other identifiers

Identifier	Type	State	Issuer
351	Other	CA	HEALTH NET MEDI-CAL
341	Other	CA	BLUE CROSS MEDI-CAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508075946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936480790",
            "telephone_number": "559-646-3561",
            "fax_number": "559-646-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 P ST",
            "city": "FIREBAUGH",
            "state": "CA",
            "postal_code": "936222230",
            "telephone_number": "559-659-1431",
            "fax_number": "559-659-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-646-6618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET MEDI-CAL",
            "identifier": "351",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDI-CAL",
            "identifier": "341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Firebaugh, CA

All providers in Firebaugh, 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 Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.