NPIMap

Organization Active NPI

Aria Community Health Center

Doing business as Aria Community Health Center Lemoore 209

  • Federally Qualified Health Center (FQHC)
  • Lemoore, CA
National Provider Identifier
1669929543
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ARIA COMMUNITY HEALTH CENTER
Doing business as
Aria Community Health Center Lemoore 209
Practice address
209 C St
Lemoore, CA 93245-2930
Phone
(559) 924-7005
Fax
(559) 282-5080
NPI assigned
Sep 8, 2016
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIA COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
John Blaine
Title
Ceo
Phone
(559) 925-8800

Specialties & licenses 1

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

Addresses

Primary practice location

209 C St
Lemoore, CA 93245-2930

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Other names 1

  • Aria Community Health Center Lemoore 209 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161107002456 CA Part A Provider - Federally Qualified Health Center (FQHC) 5597782144 1 other NPI on this enrollment
Practice locations: Lemoore, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669929543. Details of each certification follow.

Federally qualified health center certification: CCN 751946

Legal name
ARIA COMMUNITY HEALTH CENTER
Doing business as
ARIA COMMUNITY HEALTH CENTER LEMOORE 209
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 8, 2016
Last certification
Dec 8, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 1996 in CA
Enrollment address
209 C St
Lemoore, CA 93245-2930

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Aria Community Health Center31 organizations share this tax ID, including this one
Part of
Aria Community Health Center

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

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
Teri Boggess Individual Corporate Director Jan 26, 2023
Lissette Yadira Padilla Individual Corporate Director May 31, 2018
Sophie Espinoza Individual Corporate Director Jan 26, 2023
Carolina Jurado-Jimenez Individual Corporate Director Dec 27, 2010
Paul Gonzales Individual Corporate Director Nov 17, 2022
James Kaniaru Individual Corporate Director Jan 26, 2023
John Blaine Individual Corporate Officer Jan 1, 1996
W-2 Managing Employee Jan 1, 1996
Delia Vigil Individual Corporate Director Dec 27, 2010
Aria Community Health Center Organization, Avenal, CA Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2016
Operational/Managerial Control Aug 1, 2016
Domenica Sanchez Individual Corporate Director Dec 27, 2010
Randy a Beddoe Individual Corporate Director Sep 23, 2013
Juanita Elizabeth Jaramillo Individual Corporate Director Dec 27, 2010

Owners & managing parties with NPI records 23

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

View all 23

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Aria Community Health CenterLemoore, CA, CCN 751139 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 24, 2014
Feb 24, 2014

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1669929543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500",
            "fax_number": "559-282-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 C ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452930",
            "telephone_number": "559-924-7005",
            "fax_number": "559-282-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIA COMMUNITY HEALTH CENTER",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BLAINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-925-8800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aria Community Health Center Lemoore 209",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.