NPIMap

Organization Active NPI

Adventist Health Delano

Doing business as Delano Women's Medical Clinic

  • General Acute Care Hospital
  • Delano, CA
National Provider Identifier
1851429658
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
120000180 Issued in CA
Legal business name
ADVENTIST HEALTH DELANO
Doing business as
Delano Women's Medical Clinic
Practice address
1201 Jefferson St
Delano, CA 93215-2203
Phone
(661) 721-0738
NPI assigned
Mar 1, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Meredith Jobe
Title
Secretary
Phone
(916) 406-1576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
General Acute Care Hospital 282N00000X 120000180 CA Primary

Addresses

Primary practice location

1201 Jefferson St
Delano, CA 93215-2203

Mailing address

1401 Garces Hwy
Delano, CA 93215-3690
Phone (661) 725-4800

Other identifiers 2

IdentifierTypeStateIssuer
HAP08588FMedicaidCA
RHM08588FMedicaidCA

Other names 1

  • Delano Women's Medical Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040303000739 CA Part B Supplier - Clinic/Group Practice 1254248016 Receives reassigned benefits from 135 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delano, CA
O20100608000426 CA Part A Provider - Rural Health Clinic 1254248016 Practice locations: Delano, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851429658. Details of each certification follow.

Rural health clinic certification: CCN 058588

Legal name
ADVENTIST HEALTH DELANO
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 23, 2003
Last certification
Feb 23, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 10, 1990 in CA
Enrollment address
1201 Jefferson St
Delano, CA 93215-2203
Related CCNs
050608

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

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
05D1001099Adventist Health Delano Prompt Care and Woman's1201 Jefferson St, Delano, CA 93215Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central California Foun8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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
Jason Wells Individual Corporate OfficerPresident Jan 23, 2023
W-2 Managing EmployeePresident Jan 23, 2023
Kerry L Heinrich Individual Corporate DirectorChair Dec 31, 2019
Velino a Salazar Individual Corporate DirectorBoard of Directors Dec 31, 2019
Meredith S Jobe Individual Corporate DirectorSecretary Dec 31, 2019
Richard K Reiner Individual Corporate DirectorBoard of Directors Dec 31, 2019
Andrew R Davis Individual Corporate DirectorBoard of Directors Dec 31, 2019
Todd N Hofheins Individual Corporate DirectorVice Chair Dec 31, 2021
Lucy a Ocampo Individual Corporate DirectorBoard of Directors Dec 31, 2019
David P Banks Individual Corporate DirectorBoard of Directors Dec 31, 2019
Marc K Woodson Individual Corporate DirectorBoard of Directors Dec 31, 2019
John C Freedman Individual Corporate DirectorBoard of Directors Dec 31, 2019
Shane H Cox Individual Corporate DirectorTreasurer Oct 8, 2021
Robert a Cherry Individual Corporate DirectorBoard of Directors Dec 31, 2019
Larry L Innocent Individual Corporate DirectorBoard of Directors Dec 31, 2019

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Adventist HealthWasco, CA, CCN 058539 Rural health clinic Operational/Managerial Control (100%) Dec 31, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851429658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153690",
            "telephone_number": "661-725-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152203",
            "telephone_number": "661-721-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH DELANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-406-1576"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "120000180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP08588F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08588F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1201 Jefferson St",
            "city": "Delano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932152203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Delano Women's Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delano Women's Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.