Active NPI
United Health Centers of the San Joaquin Valley
- Federally Qualified Health Center (FQHC)
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Practice address
- 3652 W Shields Ave
Fresno, CA 93722 - Phone
- (800) 492-4227
- NPI assigned
- Sep 29, 2025
- Last updated
- Sep 29, 2025
- 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
- Mary Lou Lopez
- Title
- Director of Billing
- Phone
- (800) 492-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
3652 W Shields Ave
Fresno, CA 93722
Mailing address
3875 W Beechwood Ave
Fresno, CA 93711-0795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260602001401 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 5991727802 | Practice locations: Fresno, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972477404. Details of each certification follow.
Federally qualified health center certification: CCN A11048
- Legal name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 11, 2026
- Last certification
- Mar 11, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 3652 W Shields Ave
Fresno, CA 93722
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 |
|---|---|---|---|
| 05D2335403 | United Health Centers of San Joaquin Valley- | Certificate of waiver | Dec 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Orange Cove Family Health
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Sanger, CA
- NPI 1811105554
-
- Federally Qualified Health Center (FQHC)
- Lemoore, CA
- NPI 1821593971
-
- Federally Qualified Health Center (FQHC)
- Kerman, CA
- NPI 1851373401
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1851509590
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1861083354
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1891319562
-
- Federally Qualified Health Center (FQHC)
- Kerman, CA
- NPI 1902015845
-
- Federally Qualified Health Center (FQHC)
- Fowler, CA
- NPI 1902475833
-
- Federally Qualified Health Center (FQHC)
- Dinuba, CA
- NPI 1952937559
-
- Federally Qualified Health Center (FQHC)
- Hanford, CA
- NPI 1962168104
-
- Federally Qualified Health Center (FQHC)
- Sanger, CA
- NPI 1962610600
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1972301570
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Joseph Amador | Corporate Director | Oct 1, 2024 | |
| Patrick Thomas Rea | W-2 Managing Employee | Oct 3, 2022 | |
| Daniel T Parra | Corporate Director | Mar 1, 2017 | |
| Jesus Rafael Maldonado Hernandez | Corporate Officer | Nov 2, 2015 | |
| Michael Graville | Corporate Director | Jan 1, 2023 | |
| Ofelia Garcia | Corporate Director | Mar 31, 2011 | |
| Sarah Guerra | Corporate Director | Jan 1, 2018 | |
| Edna L Avalos | Corporate Director | Jan 1, 2018 | |
| Nathan Williams | Corporate Director | Sep 1, 2018 | |
| Jose Gutierrez | Corporate Director | Aug 1, 2020 | |
| Nicole Thompson | Corporate Director | Jan 1, 2023 | |
| Stephanie Sherrell | Corporate Director | Aug 1, 2024 | |
| Justin W Preas | Corporate Officer | Apr 25, 2005 |
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control (100%) | Feb 21, 2012 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Jun 23, 2014 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Apr 10, 2023 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Dec 8, 2015 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Feb 28, 2018 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control | Apr 19, 2018 |
| United Health Centers of the San Joaquin Valley | Federally qualified health center | Operational/Managerial Control (100%) | Sep 15, 2016 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1972477404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 W BEECHWOOD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3652 W SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93722",
"telephone_number": "800-492-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "MARY LOU",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "800-492-4227"
},
"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 Fresno, CA
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Medical Transportation Company Inc
- United Physicians Network PC
- United Services and Equity Foundation
- United Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.