NPIMap

Organization Active NPI

Valley Health Team, Inc.

Doing business as San Joaquin Health Center

  • Federally Qualified Health Center (FQHC)
  • San Joaquin, CA
National Provider Identifier
1598821027
Registry record updated Jul 27, 2019
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
San Joaquin Health Center
Practice address
21890 Colorado Ave
San Joaquin, CA 93660-0737
Phone
(559) 693-2462
Fax
(559) 693-2398
NPI assigned
Dec 29, 2006
Last updated
Jul 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Authorized official

Name
Mrs. Soyla R. Griffin, C.P.A
Title
Chief Executive Officer
Phone
(559) 693-2462

Specialties & licenses 1

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

Addresses

Primary practice location

21890 Colorado Ave
San Joaquin, CA 93660-0737

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
FHC03875FMedicaidCA

Other names 1

  • San Joaquin Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091012000448 CA Part A Provider - Federally Qualified Health Center (FQHC) 2365588902 Practice locations: San Joaquin, CA
O20220425001596 CA Part B Supplier - Clinic/Group Practice 2365588902 Receives reassigned benefits from 9 practitioners
7 other NPIs on this enrollment
Practice locations: San Joaquin, CA; Kingsburg, CA; Kerman, CA; Fresno, CA; Dinuba, CA; Clovis, CA; Bishop, CA; Firebaugh, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598821027. Details of each certification follow.

Federally qualified health center certification: CCN 051937

Legal name
VALLEY HEALTH TEAM, INC.
Doing business as
SAN JOAQUIN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1973 in CA
Enrollment address
21890 W Colorado Ave
San Joaquin, CA 93660-9773

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Valley Health Team Inc25 organizations share this tax ID, including this one

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 16

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

NameRoleSinceShare
Joann R Minnite Individual Corporate DirectorBoard Member Sep 17, 2009
Jose E Ramos Individual Corporate DirectorBoard Member Nov 16, 2000
Mary H Reynaga Individual Corporate DirectorBoard Treasurer Sep 17, 2009
Husam Salem Kaileh Individual Corporate OfficerCmo Aug 1, 1995
Gurpriet S Sran Individual Corporate DirectorBoard Secretary Nov 20, 2014
Linda Amparano Individual Corporate DirectorBoard Member Jan 24, 2022
Sean P Folweiler Individual Corporate Officer Jun 5, 2017
Soyla a Reyna-Griffin Individual Corporate OfficerCeo Nov 16, 2007 100%
Surjit Virdi Individual Corporate DirectorBoard Vice President Jul 25, 2013
Maggie J Rubio Individual Corporate DirectorBoard Member Nov 30, 2009
Priscilla Fernandez Individual W-2 Managing EmployeeHealth Center Manager Dec 1, 2017
Sundeep Singh Gill Individual Corporate OfficerCqio Jun 3, 2019
Sharon Ann Medigovich-Johnson Individual Corporate OfficerCoo Nov 1, 2011
Derek Warren Hayashi Individual Corporate OfficerCfo Apr 5, 2021
Amirt Paul Brar Individual Corporate DirectorBoard Member Jan 20, 2011
Mary Ellen Pumarejo Individual Corporate DirectorBoard President Feb 26, 2015

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 9

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
Golden Plains Unified School District Community Health CenterTranquillity, CA, CCN 921915 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 29, 2020
Jun 29, 2020
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 9

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

  • Valley Health Team Inc

    dba Kingsburg Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kingsburg, CA
    • NPI 1033598412

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc
    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1073880126

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Kerman Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1194068379

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Clovis Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Clovis, CA
    • NPI 1750703237

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc.

    dba Central Fresno Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Fresno, CA
    • NPI 1992183669

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Bishop Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bishop, CA
    • NPI 1508465303

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Valley Health Team, Inc

    dba Dinuba Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Dinuba, CA
    • NPI 1588171383

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Golden Plans Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Tranquility, CA
    • NPI 1407347941

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Firebaugh Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Firebaugh, CA
    • NPI 1558638601

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 9

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1598821027",
    "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": "559-693-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21890 COLORADO AVE",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-693-2462",
            "fax_number": "559-693-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH TEAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SOYLA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-693-2462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC03875F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Joaquin Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Joaquin, CA

Sources for this page

Verify at the official NPI Registry.