NPIMap

Organization Active NPI

Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
National Provider Identifier
1780195529
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OMNI FAMILY HEALTH
Practice address
4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone
(866) 707-6664
Fax
(661) 746-9197
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mr. Francisco L Castillon
Title
Chief Executive Officer
Phone
(661) 630-7045

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081

Mailing address

4900 California Ave
400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050411000986 CA Part B Supplier - Clinic/Group Practice 9234176363 Receives reassigned benefits from 185 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA; Hanford, CA; Lindsay, CA; Lost Hills, CA; Reedley, CA; Ridgecrest, CA; Shafter, CA; Taft, CA…
O20190201000047 CA Part A Provider - Federally Qualified Health Center (FQHC) 9234176363 Practice locations: Bakersfield, CA

Federally qualified health center certification: CCN 921130

Legal name
OMNI FAMILY HEALTH
Doing business as
OMNI FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 31, 2019
Last certification
Jan 31, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 9, 1978 in CA
Enrollment address
4900 California Ave
Ste 100B
Bakersfield, CA 93309-7027

Other NPIs on the same Medicare enrollment 41

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

View all 41

National Provider Directory

National Provider Directory

Ownership & related parties

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
Susan Watkins Individual Corporate OfficerBoard Member Nov 5, 2013
David Brust Individual Corporate Officer Jun 8, 2016
Cynthia D Stewart Individual W-2 Managing EmployeeDirector of Managed Care Aug 5, 2018
Francisco L Castillon Individual Corporate OfficerCeo Oct 1, 2018
W-2 Managing EmployeeCeo Oct 1, 2010
Manuel Flores Individual Corporate OfficerBoard Member Aug 4, 2015
Ruben Garcia Individual Corporate OfficerBoard Member Oct 1, 2019
Richard Sepulveda Individual Corporate OfficerBoard Member Feb 6, 2018
Kassandra Biviano Individual Corporate OfficerBoard Member Dec 7, 2021
Irma Montemayor Individual Corporate OfficerBoard Member Jan 12, 2021
John Sanchez Individual Corporate OfficerBoard Member Dec 7, 2021
Yolanda a Serna Individual Corporate OfficerBoard Member Jun 10, 2014
William Nyitray Individual Corporate OfficerBoard Member Nov 7, 2017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1780195529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE",
            "address_2": "400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900",
            "fax_number": "661-746-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "866-707-6664",
            "fax_number": "661-746-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "CASTILLON",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-630-7045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "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": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.