NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

Doing business as Valley Vista Medical Group

  • Federally Qualified Health Center (FQHC)
  • Prosser, WA
National Provider Identifier
1891821013
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
Valley Vista Medical Group
Practice address
820 Memorial St
Suite 1
Prosser, WA 99350-1526
Phone
(509) 786-1931
Fax
(509) 786-1997
NPI assigned
Feb 23, 2007
Organization subpart
Yes
Parent organization
YAKIMA VALLEY FARM WORKERS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Christine Trotter
Title
Chief Executive Officer
Phone
(509) 865-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

820 Memorial St
Suite 1
Prosser, WA 99350-1526

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 786-1931

Other identifiers 3

IdentifierTypeStateIssuer
41000OtherWALABOR AND INDUSTRIES
YA0023OtherWAREGENCE BLUE SHIELD
7106131MedicaidWA

Other names 1

  • Valley Vista Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040211000663 WA Part B Supplier - Clinic/Group Practice 4385541986 Receives reassigned benefits from 321 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wapato, WA; Yakima, WA; Ellensburg, WA; Toppenish, WA; Grandview, WA; Granger, WA; Kennewick, WA; Pasco, WA…
O20100816000948 WA Part A Provider - Federally Qualified Health Center (FQHC) 4385541986 Practice locations: Prosser, WA

Federally qualified health center certification: CCN 501858

Legal name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
VALLEY VISTA MEDICAL GROUP
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 17, 2001
Last certification
Apr 17, 2001
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1978 in WA
Enrollment address
820 Memorial St
Ste 1
Prosser, WA 99350-2504

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Part of
Milton Freewater Medica

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
Gina Garcia Individual Corporate DirectorBoard Memeber Jan 1, 2023
Thomas Sak Individual Corporate Director Oct 1, 2000
Erykah Thongdy Individual Corporate DirectorBoard Memeber Jan 1, 2023
Lorenzo Cuevas Individual Corporate Director Oct 1, 2000
Pam Cleaver Individual Corporate DirectorBoard Memeber Jan 1, 2023
Brianna Nunez-Webb Individual Corporate DirectorBoard Memeber Jan 1, 2023
Virginia Santillanes Individual Corporate Director Oct 1, 2000
Sheila Robertson Individual Corporate OfficerBilling Supervisor Jan 1, 2020
W-2 Managing EmployeeBilling Supervisor Jan 1, 2020
Irene Taylor Individual Corporate DirectorBoard Memeber Aug 1, 2019
Martin Torres Individual Corporate Director Oct 1, 2000
Christine Trotter Individual Corporate OfficerCeo Feb 17, 2020
W-2 Managing EmployeeCeo Feb 17, 2020
Roberto Alvizo Individual Corporate DirectorBoard Memeber Jan 1, 2014
Patricia Myers Individual Corporate Director Oct 1, 2000
Adrian Ochoa Individual Corporate DirectorBoard Memeber May 1, 2021

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Lancaster Family Health Center at LancasterSalem, OR, CCN 381971 Federally qualified health center Operational/Managerial Control Jan 9, 2017
Coastal Family Health CenterAstoria, OR, CCN 931016 Federally qualified health center Operational/Managerial Control Mar 1, 2017
Miramar Health Center KennewickKennewick, WA, CCN 941124 Federally qualified health center Operational/Managerial Control Mar 25, 2021

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1891821013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-786-1931",
            "fax_number": "509-786-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MEMORIAL ST",
            "address_2": "SUITE 1",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501526",
            "telephone_number": "509-786-1931",
            "fax_number": "509-786-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "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": "LABOR AND INDUSTRIES",
            "identifier": "41000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "YA0023",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106131",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vista Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Vista Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosser, WA

Sources for this page

Verify at the official NPI Registry.