NPIMap

Community Health Centers of America

Organization Active NPI Federally Qualified Health Center (FQHC) · Mariposa, CA

NPI 1891207684 · NPPES record last updated Jan 21, 2026

Key facts

NPI
1891207684
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF AMERICA
Practice address
5320 Highway 49 N
Mariposa, CA 95338-9588
Phone
(209) 575-4575
Fax
(209) 575-4598
NPI assigned
Nov 2, 2017
Organization subpart
No

Authorized official

Name
Jamie Dole
Title
Manager
Phone
(209) 575-4575

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 187

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

View all 187

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191175Community Health Centers of America
6608 Mercy Court Suite B, Fair Oaks, CA 95628		Certificate of waiverAug 23, 2026
05D2296526Community Health Centers of America
2928 Eastern Ave, Sacramento, CA 95821		Certificate of waiverDec 28, 2027
05D2306508Community Health Centers of America
489 5TH St, Gustine, CA 95322		Certificate of waiverJun 18, 2028
05D2339332Community Health Centers of America
7085 N Maple Ave, Suite 101, Fresno, CA 93720		Certificate of waiverFeb 26, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (10 enrollments) in CA

Federally qualified health center certification: CCN 921905

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 31, 2020
Last certification
Dec 31, 2020
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
5320 Highway 49 N
Ste 1
Mariposa, CA 95338-9588

Federally qualified health center certification: CCN A01029

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 20, 2021
Last certification
Sep 20, 2021
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
517 Main St
Livingston, CA 95334-1427

Federally qualified health center certification: CCN A01072

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 16, 2022
Last certification
Mar 16, 2022
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
554 5TH St
Gustine, CA 95322-1516

Federally qualified health center certification: CCN 051960

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 2023
Last certification
Feb 14, 2023
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
733 3Rd St
MC Farland, CA 93250-1008

Federally qualified health center certification: CCN 921097

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 29, 2023
Last certification
Mar 29, 2023
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
489 5TH St
Gustine, CA 95322-1514

Federally qualified health center certification: CCN A01813

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 3, 2023
Last certification
Aug 3, 2023
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
6608 Mercy CT
Fair Oaks, CA 95628-3170

Federally qualified health center certification: CCN A01194

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 18, 2023
Last certification
Aug 18, 2023
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
2928 Eastern Ave
Sacramento, CA 95821-4210

Federally qualified health center certification: CCN A01819

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 27, 2023
Last certification
Nov 27, 2023
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
May 25, 2016 in CA
Enrollment address
101 N Front St
Chowchilla, CA 93610-2916

Federally qualified health center certification: CCN A01898

Legal name
COMMUNITY HEALTH CENTERS OF AMERICA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 8, 2024
Last certification
Nov 8, 2024
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
850 W Olive Ave
Ste a
Merced, CA 95348-2427

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Shantaraju Policepatil
Individual 		Corporate Director Apr 17, 2021
Corporate Officer
Present		 Apr 17, 2021
Corporate Director
President		 Apr 17, 2021
Corporate Officer
President		 Apr 17, 2021
Corporate Officer Apr 17, 2021
Gurdeep Singh
Individual 		Corporate Officer
Coo		 Nov 15, 2017
W-2 Managing Employee
Coo		 Nov 15, 2017
Operational/Managerial Control
Coo		 Nov 15, 2017
Corporate Officer
Coo and Ceo		 Nov 15, 2017
W-2 Managing Employee
Coo-Ceo		 Nov 15, 2017
Operational/Managerial Control
Cooand Ceo		 Nov 15, 2017
Corporate Officer
Coo-Ceo		 Nov 15, 2017
W-2 Managing Employee
Coo-Ceo		 Nov 17, 2017
Operational/Managerial Control
Coo and Ceo		 Nov 15, 2017
Corporate Officer
Coo		 May 26, 2016
W-2 Managing Employee
Coo		 May 26, 2016
W-2 Managing Employee
Coo		 May 25, 2016
Corporate Officer May 26, 2016
W-2 Managing Employee May 25, 2016
Nandeesh Veerappa
Individual 		Corporate Officer
Cmo		 Aug 9, 2021
W-2 Managing Employee
MD;		 Aug 9, 2021
Operational/Managerial Control
Cmo		 Aug 9, 2021
Corporate Officer
Cmo		 May 26, 2016
Corporate Officer May 26, 2016
Mrutyuniaya Hiremath
Individual 		Corporate Director
Secretary		 Mar 1, 2018
Corporate Officer
Secretary		 Mar 1, 2018
Corporate Director
Board Member Secretary		 Mar 1, 2018
Community Health Centers of America
Organization · Salida, CA
Corporation, Non-profit 		Operational/Managerial Control Jan 22, 2018 100%
Operational/Managerial Control May 26, 2016
Lodeman Baza
Individual 		Corporate Director
Board Member		 Mar 1, 2018
Connie Collins
Individual 		Corporate Director
Board Member		 Mar 1, 2018
Gail Joanne Pioski
Individual 		Corporate Director
Board Member		 Mar 1, 2018
Sathyan Murugesan
Individual 		Corporate Director Jan 20, 2024
Elizabeth Broomfield
Individual 		Corporate Director Mar 20, 2021
Corporate Director
Board Member		 Mar 20, 2021
Daniel Kulibert
Individual 		Corporate Director Jun 15, 2025
Hurbert Daniel
Individual 		Corporate Director Jun 15, 2025
Corporate Director
Board Member		 Nov 27, 2021
Vinay Channaveerappa
Individual 		Corporate Officer
Cao		 Aug 1, 2022
W-2 Managing Employee
Ad;		 Aug 1, 2022
Naresh Channaveerappa
Individual 		Corporate Officer
Ceo-Cfo		 Jan 1, 2021
W-2 Managing Employee
Ad;		 Jan 1, 2021
Operational/Managerial Control
Ceo-Cfo		 Jan 1, 2021
Corporate Officer
Ceo-Cfo		 May 26, 2016
Corporate Officer May 26, 2016
Operational/Managerial Control
Ceo_Cfo		 May 26, 2016
Luis Orellana
Individual 		Corporate Director Mar 20, 2021
Corporate Director
Board Member		 Mar 20, 2021
Hawel Hawel
Individual 		Corporate Director
Treasurer		 Mar 1, 2018
Lori Kay Barrett
Individual 		Corporate Director
Board Member		 Mar 1, 2018
Isabel Crutchfield
Individual 		Corporate Director
Board Member		 Dec 1, 2019
Corporate Director
Board Member		 Mar 1, 2018
Corporate Director
Board Member		 Dec 15, 2019
Vinod Keremane
Individual 		Corporate Director
President		 Mar 1, 2018
Bryan Blew
Individual 		Corporate Director
Vice President		 Mar 1, 2018
Rebecca Troy
Individual 		Corporate Director
Board Member		 Nov 10, 2021
Corporate Director
Board Member		 Nov 27, 2021
Prashant Venkataiah
Individual 		Corporate Director
Board Member		 Nov 1, 2021
Corporate Director
Board Member		 Apr 13, 2021
Corporate Director
Board Member		 Jul 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180213001169 CA Part B Supplier - Clinic/Group Practice 3476813460 Receives reassigned benefits from 179 practitioners
Practice locations: Sacramento, CA; Merced, CA; MC Farland, CA; Mariposa, CA; Gustine, CA; Livingston, CA; Chowchilla, CA; Fair Oaks, CA
O20210205002375 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Mariposa, CA
O20211014003084 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Livingston, CA
O20220223001534 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gustine, CA
O20230301002819 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 1 other NPI on this enrollment
Practice locations: MC Farland, CA
O20230505002433 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Gustine, CA
O20230808002358 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Fair Oaks, CA
O20230821002739 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Sacramento, CA
O20231128000155 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Chowchilla, CA
O20241122003914 CA Part a Provider - Federally Qualified Health Center (FQHC) 3476813460 Practice locations: Merced, CA

National Provider Directory

Locations

7085 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-8888

544 5TH Ave
Gustine, CA 95322

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 383-5200

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

5200 Pirrone Ct
Ste A
Salida, CA 95368

5200 Pirrone Ct
Salida, CA 95368
Phone (209) 441-8383

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X A86330 CA
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

5320 Highway 49 N
Mariposa, CA 95338-9588

Mailing address

PO Box 3091
Modesto, CA 95353-3091
Phone (209) 575-4575

Other practice location 1

7085 N Maple Ave Ste 101
Fresno, CA 93720-8011
Phone (559) 431-8888

Other practice location 2

1300 N Fresno St Ste 220
Fresno, CA 93703-3843
Phone (559) 495-6707

Other practice location 3

101 N Front St
Chowchilla, CA 93610-2916
Phone (559) 201-9181

Other practice location 4

489 5th St
Gustine, CA 95322-1514
Phone (209) 854-3728

Other practice location 5

850 W Olive Ave
Merced, CA 95348-2427
Phone (209) 437-9410

Other practice location 6

104 W Alexander Ave
Merced, CA 95348-3410
Phone (209) 222-3979

Other practice location 7

517 Main St
Livingston, CA 95334-1427
Phone (209) 445-2388

Other practice location 8

6608 Mercy Ct Ste B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844

Other practice location 9

2928 Eastern Ave
Sacramento, CA 95821-4210
Phone (916) 894-8212

Other identifiers

IdentifierTypeStateIssuer
75-1169MedicaidCA

Other providers in Mariposa, CA

All providers in Mariposa, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.