Family Healthcare Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FAMILY HEALTHCARE NETWORK

Practice address

401 E School Ave
Visalia, CA 93291

Phone

(877) 960-3426

Fax

(559) 734-1247

NPI assigned

Jan 27, 2014

Last updated

Oct 27, 2022By 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

Mrs. Kerry Hydash

Title

President & Ceo

Phone

(877) 960-3426

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730502725. Details of each certification follow.

• CCN 751058 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 751058

Legal name

FAMILY HEALTHCARE NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 11, 2014

Last certification

Jun 11, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

401 E School Ave
Visalia, CA 93291-5032

Other NPIs on the same Medicare enrollment 35

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

• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pixley, CA
  • NPI 1033661558

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Case Manager/Care Coordinator
  • Tulare, CA
  • NPI 1043664766

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1053875484

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1073997201

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1083611156

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1114407244

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1174175012

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1225546575

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1295478212

  O20040123000681

  Same enrollment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819

  O20040123000681

  Same enrollment

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.

All facility ownership & control disclosures 15

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

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shruti Aggarwal, MBBS

  • Family Medicine Physician
  • Red Bluff, CA
  • NPI 1902003734
  NPD
• Omar Amer Araim, M.D.

  • Vascular Surgery Physician
  • Visalia, CA
  • NPI 1548474570
  NPD
• Evan Charles Dean, NP

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1548894066
  NPD
• Nidhiben P Doshi, M.D

  • Pediatrics Physician
  • Visalia, CA
  • NPI 1891089363
  NPD
• Rebecca Lynn Murphy Evangelista, DO

  • Obstetrics & Gynecology Physician
  • Fresno, CA
  • NPI 1437579638
  NPD
• Derek James Florek, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
  • NPI 1750678652
  NPD
• Ester Silohe Flores Midence, MD

  • Pediatrics Physician
  • Visalia, CA
  • NPI 1982004164
  NPD
• Zoe Grooms

  • Medical Physician Assistant
  • Visalia, CA
  • NPI 1972293603
  NPD
• Rosanna M Lesniak, DDS

  • Dentist
  • Visalia, CA
  • NPI 1740374610
  NPD
• Jefferson Paine, PA-C

  • Physician Assistant
  • Visalia, CA
  • NPI 1548731581
  NPD
• Nancy M Robinson, FNP, RN

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1790102879
  NPD
• Rabinder Singh Sidhu, M.D.

  • Allergy & Immunology Physician
  • Fresno, CA
  • NPI 1013095991
  NPD

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1730502725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "877-960-3426",
            "fax_number": "559-734-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "877-960-3426",
            "fax_number": "559-734-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HYDASH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "877-960-3426",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "ZZZ19552Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "75-1058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Healthcare Network
• Family Healthcare Network
• Family Healthcare Network
• Family Healthcare Network
• Family Healthcare Network
• Family Healthcare Network
• Family Healthcare Network
• Family Services of Tulare Co.
• Christopher Jarett Fammatre, D.D.S.
• Armin Farajzadeh Deroee, M.D.

• Federally Qualified Health Center (FQHC) in Visalia, CA
• Providers in Visalia, 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 Oct 27, 2022; 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.