United Health Centers of the San Joaquin Valley
Organization Active NPI Federally Qualified Health Center (FQHC) · Earlimart, CA
NPI 1679784698 · NPPES record last updated Jun 4, 2010
Key facts
- NPI
- 1679784698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 120000568 (CA)
- Legal business name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Practice address
- 476 E Washington
Earlimart, CA 93219 - Phone
- (661) 849-2781
- Fax
- (661) 849-5719
- NPI assigned
- May 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Colleen Curtis
- Title
- Ceo
- Phone
- (559) 646-6618
Owners & managing parties with NPI records 1
-
Adriana Padilla, MD
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Federally qualified health center certification: CCN 051852
- Legal name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- 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
- Corporation · Non-profit
- Incorporated
- Jan 15, 1971 in CA
- Enrollment address
- 476 E Washington St
Earlimart, CA 93219-0000
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Esther Nicacio |
Corporate Director |
May 27, 2010 | |
| Manuel a Angulo |
Corporate Director |
Apr 24, 2008 | |
| Ana Maria Villareal |
Corporate Director |
Sep 3, 2009 | |
| Veronica Morales |
Corporate Director |
Oct 23, 2008 | |
| William Williams |
Corporate Director |
Nov 1, 2012 | |
| Ofelia Garcia |
Corporate Director |
Mar 31, 2011 | |
| Itze a Morales |
Corporate Director |
Nov 7, 2008 | |
| Adriana R Padilla |
Corporate Director |
Jan 28, 2006 | |
| Navjot Singh |
W-2 Managing Employee |
Jun 5, 2017 | |
| Florence Espinoza |
Corporate Director |
Nov 7, 2008 | |
| Ronald Hoggard |
Corporate Director |
Feb 23, 2012 | |
| Colleena L Curtis |
Corporate Officer | Apr 24, 2012 | |
| Justin W Preas |
Corporate Officer |
Apr 25, 2005 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control (100%) | Feb 21, 2012 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control | Jun 23, 2014 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control | Apr 10, 2023 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control | Dec 8, 2015 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control | Feb 28, 2018 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control | Apr 19, 2018 |
| United Health Centers of the San Joaquin Valley |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 15, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100716000499 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 5991727802 | Practice locations: Earlimart, CA |
National Provider Directory
- Tax ID family
- United Health Centers of the San Joaquin Valley
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 120000568 | CA | Yes |
Addresses
Primary practice location
476 E Washington
Earlimart, CA 93219
Mailing address
PO Box 790
Parlier, CA 93648-0790
Phone (559) 646-3561
Other providers in Earlimart, CA
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- Valley Healthcare Centers
All providers in Earlimart, 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 Jun 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.