NPIMap

Organization Active NPI

Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
National Provider Identifier
1962876417
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CLINICA DE SALUD DEL VALLE DE SALINAS
Practice address
2180 N Main St
Salinas, CA 93906-1735
Phone
(831) 757-8689
NPI assigned
Nov 20, 2015
Organization subpart
Yes
Parent organization
CLINICA DE SALUD DEL VALLE DE SALINASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Maximilliano Cuevas, MD
Title
Ceo/MD
Phone
(831) 757-8689

Specialties & licenses 1

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

Addresses

Primary practice location

2180 N Main St
Salinas, CA 93906-1735

Mailing address

55 Plaza Cir Ste a
Salinas, CA 93901-2952
Phone (831) 796-4397

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081118000667 CA Part B Supplier - Clinic/Group Practice 3678513736 Receives reassigned benefits from 71 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castroville, CA; Gonzales, CA; Greenfield, CA; King City, CA; Royal Oaks, CA; Salinas, CA; Soledad, CA
O20161229000425 CA Part A Provider - Federally Qualified Health Center (FQHC) 3678513736 Practice locations: Salinas, CA

Federally qualified health center certification: CCN 751913

Legal name
CLINICA DE SALUD DEL VALLE DE SALINAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 9, 2016
Last certification
Dec 9, 2016
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 1980 in CA
Enrollment address
2180 N Main St
Salinas, CA 93906-1735

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
Rafael O Siqueiros MD9 organizations share this tax ID, including this one
Part of
Rafael O Siqueiros MD

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Maximiliano Cuevas Individual Corporate DirectorCeo Jan 1, 2015
Michael Victor Individual W-2 Managing Employee Jan 4, 2019
Ruben Jimenez Individual W-2 Managing Employee Sep 5, 2018
Jesus Lopez Individual Corporate Director Jan 1, 2015
Rogelio Jacinto Individual Corporate Director Jan 1, 2015
Terry Gomez Individual Operational/Managerial Control Dec 1, 2015
Raymond Gonzalez Individual Corporate Director Jan 1, 2015
Maria Aguilar Individual Corporate Director Jan 1, 2015
Genaro Carlos Individual Corporate Director Jan 1, 2015
Victoria Coley Individual Corporate Director Feb 7, 2019
Ali Chavez Individual Corporate Director Jan 1, 2015
Elizabeth Reyes Individual Corporate Director Jan 1, 2015
Aurelio Gonzalez Individual Corporate Director Jan 1, 2015
Silvana Fiege Individual W-2 Managing Employee Jan 1, 2015
Josefina Rodriguez Individual Corporate Director Jan 1, 2015
Criselia Serrano Individual Corporate Director Jan 1, 2015

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 1

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

FacilityTypeRoleSince
CSVS - Plaza CircleSalinas, CA, CCN A01118 Federally qualified health center Operational/Managerial Control Aug 1, 2022

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1962876417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLAZA CIR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012952",
            "telephone_number": "831-796-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939061735",
            "telephone_number": "831-757-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SALUD DEL VALLE DE SALINAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICA DE SALUD DEL VALLE DE SALINAS",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "MAXIMILLIANO",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "831-757-8689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "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 Salinas, CA

Sources for this page

Verify at the official NPI Registry.