NPIMap

Organization Active NPI

United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Lemoore, CA
National Provider Identifier
1821593971
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Practice address
250 E Hanford Armona Rd
Lemoore, CA 93245-2141
Phone
(559) 997-6140
Fax
(559) 924-6006
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

250 E Hanford Armona Rd
Lemoore, CA 93245-2141

Mailing address

3875 W Beechwood Ave
Fresno, CA 93711-0795
Phone (800) 492-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523000857 CA Part A Provider - Federally Qualified Health Center (FQHC) 5991727802 Practice locations: Lemoore, CA

Federally qualified health center certification: CCN 921073

Legal name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 3, 2018
Last certification
Jul 3, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 15, 1971 in CA
Enrollment address
250 E Hanford Armona Rd
Lemoore, CA 93245-2141

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284613United Health Centers of the San Joaquin Valley250 E. Hanford Armona Road, Lemoore, CA 93245Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory
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.

View all 24

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Joseph Amador Individual Corporate DirectorBoard Member Oct 1, 2024
Mary Lou Lopez Individual W-2 Managing EmployeeDirector of Billing Sep 17, 1997
Daniel T Parra Individual Corporate DirectorBoard of Director Mar 23, 2017
Jesus Rafael Maldonado Hernandez Individual Corporate OfficerVice President & Cfo Nov 2, 2015
Michael Graville Individual Corporate DirectorBoard Member Jan 1, 2023
United Health Centers of the San Joaquin Valley Organization, Lemoore, CA Corporation, Non-profit Operational/Managerial Control Apr 19, 2018
Ofelia Garcia Individual Corporate DirectorBoard of Director Mar 29, 2018
Sarah Guerra Individual Corporate DirectorBoard of Director Jan 25, 2018
Edna L Avalos Individual Corporate DirectorBoard of Director Jan 25, 2018
Nathan Williams Individual Corporate DirectorBoard Member Sep 1, 2018
Jose Gutierrez Individual Corporate DirectorBoard Member Aug 1, 2020
Nicole Thompson Individual Corporate DirectorBoard Member Nov 1, 2020
Stephanie Sherrell Individual Corporate DirectorBoard Member Aug 1, 2024
Justin W Preas Individual Corporate OfficerPresident & Ceo Apr 25, 2005
Operational/Managerial ControlDeputy Ceo Apr 25, 2005

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
United Health Centers of the San Joaquin ValleyCorcoran, CA, CCN 751010 Federally qualified health center Operational/Managerial Control (100%) Feb 21, 2012
United Health Centers of the San Joaquin ValleyReedley, CA, CCN 751086 Federally qualified health center Operational/Managerial Control Jun 23, 2014
United Health Centers of the San Joaquin ValleyFresno, CA, CCN 751895 Federally qualified health center Operational/Managerial Control Apr 10, 2023
United Health Centers of the San Joaquin ValleyFresno, CA, CCN 751930 Federally qualified health center Operational/Managerial Control Dec 8, 2015
United Health Centers of the San Joaquin ValleySanger, CA, CCN 921076 Federally qualified health center Operational/Managerial Control Feb 28, 2018
United Health Centers of the San Joaquin ValleyFowler, CA, CCN A01933 Federally qualified health center Operational/Managerial Control (100%) Sep 15, 2016

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1821593971",
    "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": "250 E HANFORD ARMONA RD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452141",
            "telephone_number": "559-997-6140",
            "fax_number": "559-924-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "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": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.