NPIMap

Organization Active NPI

Winters Healthcare Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winters, CA
National Provider Identifier
1992736086
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WINTERS HEALTHCARE FOUNDATION, INC.
Practice address
172 E Grant Ave
Winters, CA 95694-1780
Phone
(530) 795-4377
Fax
(530) 795-9541
NPI assigned
Jul 6, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Christopher Kelsch
Title
Executive Director
Phone
(530) 795-4377

Specialties & licenses 1

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

Addresses

Primary practice location

172 E Grant Ave
Winters, CA 95694-1780

Mailing address

172 E Grant Ave
Winters, CA 95694-1780
Phone (530) 795-4377

Other names 1

  • Winters Healthcare Clinic Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050803000213 CA Part A Provider - Federally Qualified Health Center (FQHC) 2567490238 Practice locations: Winters, CA
O20070426000372 CA Part B Supplier - Clinic/Group Practice 2567490238 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Esparto, CA; Winters, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992736086. Details of each certification follow.

Federally qualified health center certification: CCN 051022

Legal name
WINTERS HEALTHCARE FOUNDATION, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2005
Last certification
Sep 23, 2005
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
172 E Grant Ave
Winters, CA 95694-1780

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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
05D0976887Winters Healthcare Clinic172 E Grant Ave, Winters, CA 95694Provider-performed microscopyAug 15, 2026

National Provider Directory

National Provider Directory

Locations

172 E Grant Ave
Winters, CA 95694
Phone (530) 212-1025

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jacquelyn Knabke Individual Corporate Director Mar 28, 2024
Erik Brunkal Individual Corporate Director Apr 1, 2011
Clara Saunders Individual Corporate Director Mar 28, 2024
Jennifer Sierras Individual Corporate DirectorTreasurer Mar 28, 2024
Monika T Brunkal Individual Corporate DirectorSecretary Jan 1, 2014
Lucila G Escamilla Individual Corporate Director Jan 1, 2017
Osbaldo Arce Individual Corporate DirectorVice President Mar 28, 2024
Jennifer Jacobs Garcia Individual Corporate Director Oct 1, 2015
Andres Bermudez Individual Corporate Director Dec 3, 2025
Christopher Kelsch Individual Corporate DirectorExecutive Director Jun 1, 2005
W-2 Managing Employee Jul 1, 2005

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1992736086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E GRANT AVE",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956941780",
            "telephone_number": "530-795-4377",
            "fax_number": "530-795-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E GRANT AVE",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956941780",
            "telephone_number": "530-795-4377",
            "fax_number": "530-795-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERS HEALTHCARE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "KELSCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-795-4377"
    },
    "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": "Winters Healthcare Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Winters Healthcare Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winters, CA

Sources for this page

Verify at the official NPI Registry.