NPIMap

Organization Active NPI

Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Exeter, CA
National Provider Identifier
1669014825
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OMNI FAMILY HEALTH
Practice address
1110 W Visalia Rd Ste 102
Exeter, CA 93221-1481
Phone
(866) 707-6664
Fax
(661) 746-9197
NPI assigned
Oct 9, 2019
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mr. Francisco L Castillon
Title
Chief Executive Officer
Phone
(661) 630-7045

Specialties & licenses 1

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

Addresses

Primary practice location

1110 W Visalia Rd Ste 102
Exeter, CA 93221-1481

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

Other identifiers 1

IdentifierTypeStateIssuer
W33511MedicaidCA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050411000986 CA Part B Supplier - Clinic/Group Practice 9234176363 Receives reassigned benefits from 185 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA; Hanford, CA; Lindsay, CA; Lost Hills, CA; Reedley, CA; Ridgecrest, CA; Shafter, CA; Taft, CA…
O20200323001345 CA Part A Provider - Federally Qualified Health Center (FQHC) 9234176363 Practice locations: Exeter, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669014825. Details of each certification follow.

Federally qualified health center certification: CCN 921860

Legal name
OMNI FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 16, 2020
Last certification
Mar 16, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 9, 1978 in CA
Enrollment address
1110 W Visalia Rd
Ste 102
Exeter, CA 93221-1481

Other NPIs on the same Medicare enrollment 41

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

View all 41

National Provider Directory

National Provider Directory
Tax ID family
National Heath Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1110 W Visalia Rd
Ste 102
Exeter, CA 93221

Ownership & related parties

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.

NameRoleSinceShare
Susan Watkins Individual Corporate DirectorBoard Member Nov 5, 2013
David Brust Individual Corporate DirectorBoard Member Aug 8, 2016
Cynthia D Stewart Individual W-2 Managing EmployeeDirector of Managed Care Jan 31, 2024
Francisco L Castillon Individual Corporate OfficerChief Executive Officer Oct 1, 2010
W-2 Managing EmployeeChief Executive Officer Oct 1, 2010
Manuel Flores Individual Corporate DirectorBoard Member Aug 4, 2015
Ruben Garcia Individual Corporate DirectorBoard Member Oct 1, 2019
Richard Sepulveda Individual Corporate DirectorBoard Member Feb 6, 2018
Kassandra Biviano Individual Corporate DirectorBoard Member Dec 7, 2021
Irma Montemayor Individual Corporate DirectorBoard Member Jan 12, 2021
John Sanchez Individual Corporate DirectorBoard Member Dec 7, 2021
Yolanda a Serna Individual Corporate DirectorBoard Member Jun 10, 2014
William Nyitray Individual Corporate DirectorBoard Member Nov 7, 2017

Practitioners & affiliated clinicians

Practitioners 4

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1669014825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900",
            "fax_number": "661-746-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W VISALIA RD STE 102",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211481",
            "telephone_number": "866-707-6664",
            "fax_number": "661-746-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "CASTILLON",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-630-7045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W33511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

Verify at the official NPI Registry.