Active NPI
Community Health Centers of America
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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
- Last updated
- Jan 21, 2026
- 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
- Jamie Dole
- Title
- Manager
- Phone
- (209) 575-4575
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A86330 | CA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
NPI to CCN mapping 9
The Medicare certification numbers (CCNs) connected to NPI 1891207684. Details of each certification follow.
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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Enrollment address
- 850 W Olive Ave
Ste a
Merced, CA 95348-2427
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
3476813460
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- McFarland, CA
- NPI 1134094626
O20230301002819
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
O20220223001534
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2191175 | Community Health Centers of America | Certificate of waiver | Aug 23, 2026 |
| 05D2296526 | Community Health Centers of America | Certificate of waiver | Dec 28, 2027 |
| 05D2306508 | Community Health Centers of America | Certificate of waiver | Jun 18, 2028 |
| 05D2339332 | Community Health Centers of America | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
101 N Front St
Chowchilla, CA 93610
Phone (559) 201-9181
101 N Front St
Ste B
Chowchilla, CA 93610
Phone (559) 201-9181
160 S 13th St
Chowchilla, CA 93610
Phone (559) 665-0449
7085 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-8888
544 5TH Ave
Gustine, CA 95322
517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388
5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 233-1749
5320 State Highway 49 N
#13
Mariposa, CA 95338
Phone (209) 966-2344
5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344
5200 Pirrone Ct
Salida, CA 95368
Phone (209) 441-8383
5200 Pirrone Ct
Ste A
Salida, CA 95368
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shantaraju Policepatil | Corporate Director | Apr 17, 2021 | |
| Corporate Officer | Apr 17, 2021 | ||
| Corporate Director | Apr 17, 2021 | ||
| Corporate Officer | Apr 17, 2021 | ||
| Corporate Officer | Apr 17, 2021 | ||
| Gurdeep Singh | Corporate Officer | Nov 15, 2017 | |
| W-2 Managing Employee | Nov 15, 2017 | ||
| Operational/Managerial Control | Nov 15, 2017 | ||
| Corporate Officer | Nov 15, 2017 | ||
| W-2 Managing Employee | Nov 15, 2017 | ||
| Operational/Managerial Control | Nov 15, 2017 | ||
| Corporate Officer | Nov 15, 2017 | ||
| W-2 Managing Employee | Nov 17, 2017 | ||
| Operational/Managerial Control | Nov 15, 2017 | ||
| Corporate Officer | May 26, 2016 | ||
| W-2 Managing Employee | May 26, 2016 | ||
| W-2 Managing Employee | May 25, 2016 | ||
| Corporate Officer | May 26, 2016 | ||
| W-2 Managing Employee | May 25, 2016 | ||
| Nandeesh Veerappa | Corporate Officer | Aug 9, 2021 | |
| W-2 Managing Employee | Aug 9, 2021 | ||
| Operational/Managerial Control | Aug 9, 2021 | ||
| Corporate Officer | May 26, 2016 | ||
| Corporate Officer | May 26, 2016 | ||
| Mrutyuniaya Hiremath | Corporate Director | Mar 1, 2018 | |
| Corporate Officer | Mar 1, 2018 | ||
| Corporate Director | Mar 1, 2018 | ||
| Community Health Centers of America | Operational/Managerial Control | Jan 22, 2018 | 100% |
| Operational/Managerial Control | May 26, 2016 | ||
| Lodeman Baza | Corporate Director | Mar 1, 2018 | |
| Connie Collins | Corporate Director | Mar 1, 2018 | |
| Gail Joanne Pioski | Corporate Director | Mar 1, 2018 | |
| Sathyan Murugesan | Corporate Director | Jan 20, 2024 | |
| Elizabeth Broomfield | Corporate Director | Mar 20, 2021 | |
| Corporate Director | Mar 20, 2021 | ||
| Daniel Kulibert | Corporate Director | Jun 15, 2025 | |
| Hurbert Daniel | Corporate Director | Jun 15, 2025 | |
| Corporate Director | Nov 27, 2021 | ||
| Vinay Channaveerappa | Corporate Officer | Aug 1, 2022 | |
| W-2 Managing Employee | Aug 1, 2022 | ||
| Naresh Channaveerappa | Corporate Officer | Jan 1, 2021 | |
| W-2 Managing Employee | Jan 1, 2021 | ||
| Operational/Managerial Control | Jan 1, 2021 | ||
| Corporate Officer | May 26, 2016 | ||
| Corporate Officer | May 26, 2016 | ||
| Operational/Managerial Control | May 26, 2016 | ||
| Luis Orellana | Corporate Director | Mar 20, 2021 | |
| Corporate Director | Mar 20, 2021 | ||
| Hawel Hawel | Corporate Director | Mar 1, 2018 | |
| Lori Kay Barrett | Corporate Director | Mar 1, 2018 | |
| Isabel Crutchfield | Corporate Director | Dec 1, 2019 | |
| Corporate Director | Mar 1, 2018 | ||
| Corporate Director | Dec 15, 2019 | ||
| Vinod Keremane | Corporate Director | Mar 1, 2018 | |
| Bryan Blew | Corporate Director | Mar 1, 2018 | |
| Rebecca Troy | Corporate Director | Nov 10, 2021 | |
| Corporate Director | Nov 27, 2021 | ||
| Prashant Venkataiah | Corporate Director | Nov 1, 2021 | |
| Corporate Director | Apr 13, 2021 | ||
| Corporate Director | Jul 1, 2023 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
Operational/Managerial Control
-
- Family Nurse Practitioner
- Merced, CA
- NPI 1821607797
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Family Medicine Physician
- Modesto, CA
- NPI 1508834938
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 183
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.
-
- Adult Medicine Physician
- Fair Oaks, CA
- NPI 1023431152
-
- Family Nurse Practitioner
- Fair Oaks, CA
- NPI 1962949354
-
- Family Nurse Practitioner
- Fair Oaks, CA
- NPI 1508683376
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1134702947
-
- Psychiatry Physician
- Napa, CA
- NPI 1346695004
-
- Family Medicine Physician
- Salida, CA
- NPI 1467276014
-
- Internal Medicine Physician
- Fair Oaks, CA
- NPI 1306000922
Family Medicine
-
- Family Nurse Practitioner
- Atwater, CA
- NPI 1205489903
-
- Endocrinology, Diabetes & Metabolism Physician
- Sacramento, CA
- NPI 1063761815
-
- Nurse Practitioner
- Elk Grove, CA
- NPI 1972210284
-
- Family Medicine Physician
- Atwater, CA
- NPI 1861839151
-
- Foot & Ankle Surgery Podiatrist
- Santa Monica, CA
- NPI 1033798285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1891207684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3091",
"city": "MODESTO",
"state": "CA",
"postal_code": "953533091",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 HIGHWAY 49 N",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "953389588",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
}
],
"practiceLocations": [
{
"address_1": "7085 N Maple Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937208011",
"country_code": "US",
"telephone_number": "559-431-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 N Fresno St Ste 220",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937033843",
"country_code": "US",
"telephone_number": "559-495-6707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 N Front St",
"address_purpose": "LOCATION",
"city": "Chowchilla",
"state": "CA",
"postal_code": "936102916",
"country_code": "US",
"telephone_number": "559-201-9181",
"fax_number": "559-201-9395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "489 5th St",
"address_purpose": "LOCATION",
"city": "Gustine",
"state": "CA",
"postal_code": "953221514",
"country_code": "US",
"telephone_number": "209-854-3728",
"fax_number": "800-591-9213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 W Olive Ave",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953482427",
"country_code": "US",
"telephone_number": "209-437-9410",
"fax_number": "559-220-9380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 W Alexander Ave",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953483410",
"country_code": "US",
"telephone_number": "209-222-3979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "517 Main St",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "CA",
"postal_code": "953341427",
"country_code": "US",
"telephone_number": "209-445-2388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6608 Mercy Ct Ste B",
"address_purpose": "LOCATION",
"city": "Fair Oaks",
"state": "CA",
"postal_code": "956283171",
"country_code": "US",
"telephone_number": "916-241-9844",
"fax_number": "916-241-9845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2928 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958214210",
"country_code": "US",
"telephone_number": "916-894-8212",
"fax_number": "916-244-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY HEALTH CENTERS OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-02",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "DOLE",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "209-575-4575"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A86330",
"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 Mariposa, CA
- Chukwuocha MD Inc
- Iris M Chynoweth, ED.M
- Ginger Clark, RN
- Denise Marie Collins
- Michael Comerford
- Rhonda J Cook
- Cornerstone Family Counseling Services
- Counseling Services of Mariposa
- County of Mariposa (Mariposa County HHSA Community Health Center)
- County of Mariposa (Mariposa County Adult Detention Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.