NPIMap

Organization Active NPI

Valley Health Team, Inc

Doing business as Kerman Health Center

  • Federally Qualified Health Center (FQHC)
  • Kerman, CA
National Provider Identifier
1962567388
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH TEAM, INC
Doing business as
Kerman Health Center
Practice address
449 S Madera Ave
Kerman, CA 93630-1537
Phone
(559) 364-2970
Fax
(559) 846-9353
NPI assigned
Dec 26, 2006
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mrs. Soyla R. Griffin, C.P.A
Title
Chief Executive Officer
Phone
(559) 693-2462

Specialties & licenses 1

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

Addresses

Primary practice location

449 S Madera Ave
Kerman, CA 93630-1537

Mailing address

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 693-2462

Other identifiers 1

IdentifierTypeStateIssuer
FHC70771FMedicaidCA

Other names 1

  • Kerman Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091012000500 CA Part A Provider - Federally Qualified Health Center (FQHC) 2365588902 Practice locations: Kerman, CA
O20220425001596 CA Part B Supplier - Clinic/Group Practice 2365588902 Receives reassigned benefits from 9 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Joaquin, CA; Kingsburg, CA; Kerman, CA; Fresno, CA; Dinuba, CA; Clovis, CA; Bishop, CA; Firebaugh, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962567388. Details of each certification follow.

Federally qualified health center certification: CCN 551847

Legal name
VALLEY HEALTH TEAM, INC.
Doing business as
KERMAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 23, 1998
Last certification
Mar 23, 1998
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1973 in CA
Enrollment address
449 S Madera Ave
Kerman, CA 93630-1537

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 7

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
05D0947326Kerman Health Center449 South Madera Ave, Kerman, CA 93630Provider-performed microscopyJun 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Valley Health Team Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

459 W Line St
Ste C
Bishop, CA 93514
Phone (760) 784-7020

171 S Madera Ave
Kerman, CA 93630

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Ted Ang Avena Individual Corporate OfficerChief Financial Officer Aug 1, 2024
Joann R Minnite Individual Corporate DirectorBoard Member May 16, 2002
Jose E Ramos Individual Corporate DirectorBoard Member Nov 16, 2000
Mary H Reynaga Individual Corporate DirectorBoard Member Jan 28, 1998
Husam Salem Kaileh Individual Corporate OfficerCmo Chief Medical Officer Aug 1, 1995
Gurpriet S Sran Individual Corporate Director Nov 20, 2014
Linda Amparano Individual Corporate DirectorBoard Member Jan 24, 2022
Amy Fernandez-Garfield Individual Corporate DirectorBoard Member Nov 20, 2025
Soyla a Reyna-Griffin Individual Corporate OfficerCeo Nov 1, 2011 100%
Cynthia Valle Perez Morales Individual W-2 Managing EmployeeHealth Center Manager Jun 21, 2021
Surjit Virdi Individual Corporate DirectorBoard Member Jul 25, 2013
Maggie J Rubio Individual Corporate DirectorBoard Member Jun 21, 2007
Sundeep Singh Gill Individual Corporate OfficerChief Quality & Informatics Officer Jun 3, 2019
Sharon Ann Medigovich-Johnson Individual Corporate OfficerChief Operations Officer Jan 20, 2011
Amirt Paul Brar Individual Corporate DirectorBoard Member Jan 20, 2011
Mary Ellen Pumarejo Individual Corporate Director Feb 26, 2015
Rod Alan Davison Individual Corporate OfficerChief Information Officer Sep 16, 2024

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Firebaugh Community Health CenterFirebaugh, CA, CCN 551176 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 1, 2022
Dec 1, 2022
Kerman Unified School District Community Health CenterKerman, CA, CCN 751043 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 28, 1973
Jun 28, 1973
Clovis Community Health CenterClovis, CA, CCN 751087 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 2, 2014
Jun 2, 2014
Kingsburg Community Health CenterKingsburg, CA, CCN 751894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 5, 2023
Jun 5, 2023
Central Fresno Community Health CenterFresno, CA, CCN 921042 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 13, 2017
Nov 13, 2017
Dinuba Community Health CenterDinuba, CA, CCN 921129 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2018
Sep 11, 2018
Kerman Dental Center / Valley Optometric CenterKerman, CA, CCN 921879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 26, 2012
Mar 26, 2012
Golden Plains Unified School District Community Health CenterTranquillity, CA, CCN 921915 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 29, 2020
Jun 29, 2020
Valley Health Team, Inc.Bishop, CA, CCN 921958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012

Owned or controlled facilities with NPI records 9

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

  • Valley Health Team Inc

    dba Kingsburg Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kingsburg, CA
    • NPI 1033598412

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc
    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1073880126

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Kerman Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1194068379

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc

    dba Clovis Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Clovis, CA
    • NPI 1750703237

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team Inc.

    dba Central Fresno Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Fresno, CA
    • NPI 1992183669

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc

    dba Bishop Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Bishop, CA
    • NPI 1508465303

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Valley Health Team, Inc

    dba Dinuba Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Dinuba, CA
    • NPI 1588171383

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Golden Plans Unified School District Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Tranquility, CA
    • NPI 1407347941

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Valley Health Team, Inc.

    dba Firebaugh Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Firebaugh, CA
    • NPI 1558638601

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1962567388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-693-2462",
            "fax_number": "559-693-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301537",
            "telephone_number": "559-364-2970",
            "fax_number": "559-846-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SOYLA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-693-2462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70771F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerman Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kerman Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.