Aria Community Health Center

Organization Active NPI Federally Qualified Health Center (FQHC) · Lemoore, CA

NPI 1669929543 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1669929543
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ARIA COMMUNITY HEALTH CENTER
Practice address
209 C St
Lemoore, CA 93245-2930
Phone
(559) 924-7005
Fax
(559) 282-5080
NPI assigned
Sep 8, 2016
Organization subpart
Yes
Parent organization (as reported)
ARIA COMMUNITY HEALTH CENTER

Authorized official

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

Owners & managing parties with NPI records 23

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 23

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

Corporate family (same tax ID) 30

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

View all 30

Facilities with the same owner 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

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
Corporation · Non-profit
Incorporated
Mar 19, 1996 in CA
Enrollment address
209 C St
Lemoore, CA 93245-2930

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

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 Center
Lemoore, CA · CCN 751139
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 24, 2014
Feb 24, 2014

Medicare enrollment records

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

National Provider Directory

Tax ID family
Aria Community Health Center (31 organizations share this tax ID)
Part of
Aria Community Health Center

Specialties & licenses

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

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

  • Aria Community Health Center Lemoore 209 Doing business as

Other providers in Lemoore, CA

All providers in Lemoore, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.