United Health Centers of the San Joaquin Valley

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Practice address

119 Barboza St
Mendota, CA 93640-1901

Phone

(800) 492-4227

Fax

(559) 646-6614

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Mary Lou Lopez

Title

Director of Billing

Phone

(800) 492-4227

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Federally qualified health center certification: CCN A01938

Legal name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 27, 2025

Last certification

Mar 27, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

119 Barboza St
Mendota, CA 93640-1901

Tax ID family

United Health Centers of the San Joaquin Valley91 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Sanger, CA
  • NPI 1629599535
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Huron, CA
  • NPI 1629621651
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Clovis, CA
  • NPI 1629640461
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Sanger, CA
  • NPI 1639387376
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1639921299
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Orange Cove, CA
  • NPI 1649252198
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Earlimart, CA
  • NPI 1649481623
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Mendota, CA
  • NPI 1659580041
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Earlimart, CA
  • NPI 1659580926
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1679198279
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Earlimart, CA
  • NPI 1679784698
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Parlier, CA
  • NPI 1689880072
  NPD tax ID

Locations

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

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

• Arlin M. Venturina, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1619085164

  Corporate Officer

  CMS ownership

All facility ownership & control disclosures 7

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

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1700634797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 W BEECHWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110795",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BARBOZA ST",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936401901",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "800-492-4227"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• United Health Centers of the San Joaquin Valley
• Maria De Jesus Verdugo Lopez, LCSW
• Westside Medical Group of Mendota Inc.
• Brandon Wong, PA-C
• Mirtha Johanna Yabar Tello I, DDS

• All providers in Mendota, CA
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.