United Health Centers of the San Joaquin Valley

Key facts

NPI

1992322119

Entity type

Organization (NPI type 2)

Primary specialty

Federally Qualified Health Center (FQHC) 261QF0400X

Legal business name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Practice address

2497 Herndon Ave Ste 103
Clovis, CA 93611-8977

Phone

(800) 492-4227

NPI assigned

Jul 3, 2020

Organization subpart

No

Authorized official

Name

Mary Lou Lopez, CPC

Title

Director of Billing

Phone

(800) 492-4227

Corporate family (same tax ID) 13

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

• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Kerman, CA · NPI 1851373401
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Huron, CA · NPI 1851509590
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fresno, CA · NPI 1861083354
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fresno, CA · NPI 1891319562
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Kerman, CA · NPI 1902015845
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fowler, CA · NPI 1902475833
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Dinuba, CA · NPI 1952937559
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Hanford, CA · NPI 1962168104
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Sanger, CA · NPI 1962610600
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fresno, CA · NPI 1972301570
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fresno, CA · NPI 1972477404
  NPD tax ID
• United Health Centers of the San Joaquin Valley Federally Qualified Health Center (FQHC) · Fresno, CA · NPI 1982079620
  NPD tax ID
• United Health Centers of the SJV Federally Qualified Health Center (FQHC) · Sanger, CA · NPI 1992787444
  NPD tax ID

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Federally qualified health center certification: CCN A01052

Legal name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 11, 2022

Last certification

Feb 11, 2022

Ownership / control type

For profit – corporation

Organization structure

Corporation · Non-profit

Incorporated

Nov 15, 1971 in CA

Enrollment address

2497 E Herndon Ave
Ste 103
Clovis, CA 93611-8977

All disclosed owners & managing parties 14

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

All facility ownership & control disclosures 7

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

Medicare enrollment records

National Provider Directory

Tax ID family

United Health Centers of the San Joaquin Valley (91 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1992322119",
    "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",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118977",
            "telephone_number": "800-492-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "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",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• United Health Centers of the San Joaquin Valley
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• Elizabeth Urbano, MSW; LCSW
• Gonzalo Urbano, M.D.
• Eleanor Octavia Uribe, L.C.S.W., P.P.S.C.

All providers in Clovis, CA · Federally Qualified Health Center (FQHC) in California