Central Valley Indian Health Inc
Organization Active NPI Clinic/Center · Prather, CA
NPI 1902025059 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1902025059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 040000392 (CA)
- Legal business name
- CENTRAL VALLEY INDIAN HEALTH INC
- Practice address
- 29323 Auberry Rd
Prather, CA 93651-9757 - Phone
- (559) 855-5390
- Fax
- (559) 299-0245
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Julie A Ramsey
- Title
- Coo
- Phone
- (559) 299-2578
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 7
Practitioners 39
-
Sheilah Adams, FNP
-
Gurmit Singh Deol, N.P.
-
Matthew James Easton, D.O.
-
Mika Danielle Fisher, MPH, RDN, CPH
-
Nooshin Moalemi Guzman, D.O.
-
Derik Keshishian, M.D.
-
Muhammad Shoaib Khan, M.D.
-
Aaron Christopher Kissel, M.D.
-
Shaikh B. Matin, MD
-
Mary Elizabeth McLain, M.D.
-
Samuel A Montano, PHD
-
Ross M Nishijima, DPM
-
Brandon Kay Shumway, M.D.
-
Pritpal Kaur Sidhu, FNP
-
Maria Blancarte Stevens, PSY.D.
-
Patrick Stuart, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0902729 | Central Valley Indian Health Clinic, Prather | Certificate of waiver | Jul 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000344 | CA | Part B Supplier - Clinic/Group Practice | 9931092533 |
Receives reassigned benefits from 38 practitioners 5 other NPIs on this enrollment Practice locations: Clovis, CA; Lemoore, CA; North Fork, CA; Prather, CA |
National Provider Directory
- Tax ID family
- Central Valley Indian Health Inc
Locations
255 W Bullard Ave
Ste 109
Clovis, CA 93612
Phone (559) 297-7563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Family Medicine Physician |
207Q00000X | |||
| Clinic/Center | 261Q00000X | 040000392 | CA | Yes |
Addresses
Primary practice location
29323 Auberry Rd
Prather, CA 93651-9757
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-2578
Other names
- Central Valley Indian Health Clinic Prather
Other providers in Prather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.