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

122 East Cesar Chavez Boulevard
Fresno, CA 93706-0000

Phone

(800) 492-4227

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720964927. Details of each certification follow.

• CCN A11056 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN A11056

Legal name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 10, 2026

Last certification

Apr 10, 2026

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

122 E Cesar Chavez Blvd
Fresno, CA 93706-3642

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Robert Wageneck DO91 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)
  • 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
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Mendota, CA
  • NPI 1700634797
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Kerman, CA
  • NPI 1710196670
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Orange Cove, CA
  • NPI 1720296445
  NPD tax ID
• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Orange Cove, CA
  • NPI 1720296452
  NPD tax ID

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold 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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1720964927",
    "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": "122 EAST CESAR CHAVEZ BOULEVARD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937060000",
            "telephone_number": "800-492-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "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
• 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

• Federally Qualified Health Center (FQHC) in Fresno, CA
• Providers in Fresno, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.