Omni Family Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Shafter, CA
NPI 1801804398 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1801804398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 120000524 (CA)
- Legal business name
- OMNI FAMILY HEALTH
- Practice address
- 320 James St
Shafter, CA 93263-2033 - Phone
- (866) 707-6664
- Fax
- (661) 746-9197
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Francisco L Castillon
- Title
- Chief Executive Officer
- Phone
- (661) 630-7045
Other NPIs on the same Medicare enrollment 41
Practitioners 7
-
James Joseph Ardis, O.D.
-
Archana Reddy Bongurala, M.D.
-
Angela Nicole Garcia, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Locations
3748 E Shields Ave
Fresno, CA 93726
Phone (559) 224-7272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 120000524 | CA | Yes |
Addresses
Primary practice location
320 James St
Shafter, CA 93263-2033
Mailing address
4900 California Ave
400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCP70805F | Other | CA | CDHS |
| FHC70805F | Medicaid | CA |
Other names
- National Health Services, Inc
Other providers in Shafter, CA
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Agnes Gan Ong
- Mia Valerie Ortiz
All providers in Shafter, 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 Jul 8, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.