FAMILY HEALTHCARE OF CHOWCHILLA
NPI 1013314046
Clinic/Center - Rural Health in Chowchilla, CA

Active since November 19, 2014CLIA 05D1105463 · Waiver
1300 ROBERTSON BLVD, CHOWCHILLA, CA 93610(209) 827-4747(209) 827-5831 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Healthcare Of Chowchilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTHCARE OF CHOWCHILLA (NPI 1013314046) is a healthcare organization registered as a rural health in Chowchilla, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Pedro R Febres-roman, Owner/phycian, as its authorized official.

NPPES Registry Identity

NPI1013314046
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY HEALTHCARE OF CHOWCHILLA
Location Address1300 ROBERTSON BLVDChowchilla, CA 93610-2633
Mailing Address1045 5th StLos Banos, CA 93635-4204 · (209) 827-4747 · Fax (209) 827-5831
Fax(209) 827-5831
Organization SubpartYesParent: Family Health Medical Center
Authorized OfficialPedro R Febres-romanOwner/phycian · (209) 827-4747
Enumeration DateNovember 19, 2014
Last NPPES UpdateJanuary 16, 2015
NPI 1013314046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in CA · A29593
1300 ROBERTSON BLVD, Chowchilla, CA 93610

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1105463

Family Health Medical Center, Inc · Los Banos, CA
Active · expires Sep 22, 2027
CLIA Number05D1105463
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorMohammed S. Al-Hasan
Laboratory Phone(209) 827-4747
Laboratory LocationFamily Health Medical Center, Inc1045 5th St, Los Banos, CA 93635
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013314046, enumerated as an "organization" on November 19, 2014.

The provider is located at 1300 ROBERTSON BLVD CHOWCHILLA, CA 93610 and the phone number is (209) 827-4747.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.