NPIMap

Organization Active NPI

Valley Health Team Inc.

Doing business as Central Fresno Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1992183669
Registry record updated Jul 27, 2019
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
Central Fresno Community Health Center
Practice address
4711 W Ashlan Ave
Fresno, CA 93722
Phone
(559) 693-2462
Fax
(559) 892-0322
NPI assigned
May 13, 2015
Last updated
Jul 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Authorized official

Name
Mrs. Soyla R Griffin
Title
Ceo
Phone
(559) 693-2462

Specialties & licenses 1

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

Addresses

Primary practice location

4711 W Ashlan Ave
Fresno, CA 93722

Mailing address

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

Other names 1

  • Central Fresno Community 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
O20171228001476 CA Part A Provider - Federally Qualified Health Center (FQHC) 2365588902 Practice locations: Fresno, 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 1992183669. Details of each certification follow.

Federally qualified health center certification: CCN 921042

Legal name
VALLEY HEALTH TEAM, INC.
Doing business as
CENTRAL FRESNO COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 18, 2017
Last certification
Dec 18, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1973 in CA
Enrollment address
4711 W Ashlan Ave
Fresno, CA 93722-4307

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.

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

Ownership & related parties

All disclosed owners & managing parties 19

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 W-2 Managing EmployeeDirector of Finance Nov 13, 2017
Joann R Minnite Individual Corporate DirectorBoard Member May 16, 2002
Jose E Ramos Individual Corporate DirectorBoard Member Nov 16, 2000
Melissa Lopez Individual W-2 Managing EmployeeRegional Director of Operations Nov 13, 2017
Mary H Reynaga Individual Corporate DirectorBoard Treasurer Jan 28, 1998
Valley Health Team, Inc. Organization, Fresno, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 13, 2017 100%
Operational/Managerial Control Nov 13, 2017 100%
Husam Salem Kaileh Individual Corporate OfficerCmo Aug 1, 1995
Gurpriet S Sran Individual Corporate DirectorBoard Secretary Nov 20, 2014
Linda Amparano Individual Corporate DirectorBoard Member Jan 24, 2022
Sean P Folweiler Individual Corporate OfficerCio Jun 5, 2017
Soyla a Reyna-Griffin Individual Corporate OfficerCeo Nov 16, 2007 100%
Surjit Virdi Individual Corporate DirectorBoard Vice President Jul 25, 2013
Maggie J Rubio Individual Corporate DirectorBoard Member Jun 21, 2007
Jordana Ashley Dablan Individual W-2 Managing EmployeeHealth Center Manager Dec 3, 2019
Sundeep Singh Gill Individual Corporate OfficerCqio Jun 3, 2019
Sharon Ann Medigovich-Johnson Individual Corporate OfficerCoo Jan 20, 2011
Derek Warren Hayashi Individual Corporate OfficerCfo Apr 5, 2021
Amirt Paul Brar Individual Corporate DirectorBoard Member Jan 20, 2011
Mary Ellen Pumarejo Individual Corporate DirectorBoard President Feb 26, 2015

Owners & managing parties with NPI records 11

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

  • Husam S. Kaileh, M.D.
    • Family Medicine Physician
    • San Joaquin, CA
    • NPI 1700920899

    Corporate Officer

    CMS ownership
  • 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 Bishop Community Health Center

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

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

    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 Kerman Health Center

    • Federally Qualified Health Center (FQHC)
    • Kerman, CA
    • NPI 1962567388

    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
  • Valley Health Team, Inc.

    dba San Joaquin Health Center

    • Federally Qualified Health Center (FQHC)
    • San Joaquin, CA
    • NPI 1598821027

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

    CMS ownership

All facility ownership & control disclosures 8

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
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 8

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 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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1992183669",
    "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": "559-693-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 W ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722",
            "telephone_number": "559-693-2462",
            "fax_number": "559-892-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH TEAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SOYLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-693-2462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Fresno Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Fresno Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.