Active NPI
Family Healthcare Network
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- FAMILY HEALTHCARE NETWORK
- Practice address
- 9416 Road 238
Terra Bella, CA 93270-9400 - Phone
- (559) 741-4500
- Fax
- (559) 734-1247
- NPI assigned
- Dec 13, 2013
- Last updated
- Oct 31, 2022
- Organization subpart
- No
NPPES NPI Registry
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
- (559) 737-4700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
9416 Road 238
Terra Bella, CA 93270-9400
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-1045 | Other | CA | MEDICARE ID-TYPE UNSPECIFIED |
| CA120991 | Other | CA | MEDICARE ID-TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000681 | CA | Part B Supplier - Clinic/Group Practice | 6305756339 |
Receives reassigned benefits from 429 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Reedley, CA; Ivanhoe, CA; Selma, CA; Springville, CA; Squaw Valley, CA; Strathmore, CA; Terra Bella, CA; Three Rivers, CA… |
| O20140219002122 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 6305756339 | Practice locations: Terra Bella, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831520048. Details of each certification follow.
Federally qualified health center certification: CCN 751045
- Legal name
- FAMILY HEALTHCARE NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 5, 2014
- Last certification
- Mar 5, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 26, 1976 in CA
- Enrollment address
- 9416 Road 238
Terra Bella, CA 93270
Other NPIs on the same Medicare enrollment 35
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053875484
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Tulare, CA
- NPI 1073997201
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1083611156
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1114407244
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1174175012
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1225546575
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1295478212
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
O20040123000681
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kerry Hydash | Corporate Officer | Apr 24, 2013 | 100% |
| Operational/Managerial Control | Apr 23, 2013 | 100% | |
| Emzy Cope | Corporate Director | Dec 30, 2013 | |
| Chad Vawter | Corporate Officer | Apr 23, 2013 | |
| Michael Botello | Corporate Director | Dec 30, 2013 | |
| Olivia Gamboa | Corporate Director | Dec 30, 2013 | |
| Teresa de la Rosa | Corporate Director | Dec 30, 2013 | |
| Susan Manuel | Corporate Director | Nov 28, 2018 | |
| John Zapalac | Corporate Director | Dec 30, 2013 | |
| Minnetta Costa | Corporate Director | Dec 30, 2013 | |
| Maria Gonzalez | Corporate Director | Dec 30, 2013 | |
| Michelle Cano-Dewees | Corporate Director | Mar 1, 2016 | |
| Sandra Miller | Corporate Director | Oct 1, 2014 |
All facility ownership & control disclosures 15
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 29, 2019 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 7, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 29, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 20, 2020 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 23, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 30, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 9, 2019 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Sep 16, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2013 Mar 1, 2024 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jan 30, 2024 |
Practitioners & affiliated clinicians
Practitioners 266
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.
-
- Clinical Social Worker
- Porterville, CA
- NPI 1235484817
-
- Internal Medicine Physician
- Porterville, CA
- NPI 1639584287
-
- Internal Medicine Physician
- Visalia, CA
- NPI 1588161483
-
- Physician Assistant
- Guadalupe, CA
- NPI 1598160004
-
- Pediatrics Physician
- Visalia, CA
- NPI 1407423668
-
- Family Nurse Practitioner
- Hanford, CA
- NPI 1942879283
-
- Family Nurse Practitioner
- Porterville, CA
- NPI 1154942209
-
- Physician Assistant
- Fresno, CA
- NPI 1508079906
-
- Family Medicine Physician
- Visalia, CA
- NPI 1982100764
-
- Physician Assistant
- Visalia, CA
- NPI 1457104085
-
- Surgery Physician
- Visalia, CA
- NPI 1881875185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1831520048",
"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": "559-737-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9416 ROAD 238",
"city": "TERRA BELLA",
"state": "CA",
"postal_code": "932709400",
"telephone_number": "559-741-4500",
"fax_number": "559-734-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-13",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "HYDASH",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "559-737-4700",
"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": "75-1045",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "CA120991",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terra Bella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.