KINGSBURG COMMUNITY HEALTH CENTER
NPI 1033598412
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingsburg, CA

Active since May 19, 2015CLIA 05D0693370 · Waiver
121 WEST SIERRA STREET, KINGSBURG, CA 93631(559) 326-5320(559) 326-5323 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2023, Nov 2, 2020, Jul 27, 2019 (3 updates tracked since 2019).

About Kingsburg Community Health Center NPPES

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

KINGSBURG COMMUNITY HEALTH CENTER (NPI 1033598412) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingsburg, California and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 4, 2027, maintains a secondary practice location in Kingsburg, and lists Soyla Reyna-griffin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033598412
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVALLEY HEALTH TEAM INC
Location Address121 WEST SIERRA STREETKingsburg, CA 93631
Mailing AddressPo Box 737San Joaquin, CA 93660-0737
Fax(559) 326-5323
Organization SubpartNo
Authorized OfficialSoyla Reyna-griffinCeo · (559) 693-2462
Enumeration DateMay 19, 2015
Last NPPES UpdateJune 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1033598412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
121 WEST SIERRA STREET, Kingsburg, CA 93631

Other Names 1

Doing Business AsKingsburg Community Health Center

Secondary Practice Location 1

Location 11250 Smith StKingsburg, CA 93631-2216 · Phone (559) 326-5320 · Fax (559) 326-5321

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingsburg Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Kingsburg Community Health Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice10
Dermatology1
Internal Medicine1

Clinicians, nearest first (12)

Family Practice
NPI 1992936157
121 SIERRA ST
Kingsburg, CA 93631
(559) 326-5320
✔ PECOS0.1 mi
Family Practice
NPI 1598344046
121 W SIERRA ST
Kingsburg, CA 93631
(559) 326-5320
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1053318659
888 N ALTA AVE
Dinuba, CA 93618
(559) 595-1000
✔ PECOS9.8 mi
Family Practice
NPI 1457813974
888 N ALTA AVE
Dinuba, CA 93618
(559) 595-1000
✔ PECOS✔ Accepts Medicare9.8 mi
Family Practice
NPI 1417257452
155 N FRESNO ST
Fresno, CA 93701
(559) 499-6450
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1801882360
807 N VAN NESS AVE
Fresno, CA 93728
(559) 499-1233
✔ PECOS21 mi
Family Practice
NPI 1861805814
4711 W ASHLAN AVE
Fresno, CA 93722
(559) 203-6660
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1043659014
4711 W ASHLAN AVE
Fresno, CA 93722
(559) 203-6660
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1871053439
4711 W ASHLAN AVE
Fresno, CA 93722
(559) 203-6660
✔ PECOS26 mi
Family Practice
NPI 1629022488
VALLEY HEALTH TEAM CFCHC 4711 W. ASHLAN AVENUE
Fresno, CA 93722
(559) 203-6660
✔ PECOS26 mi
Family Practice
NPI 1194222950
449 S MADERA AVE
Kerman, CA 93630
(559) 364-2970
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1700920899
21890 W. COLORADO AVENUE
San Joaquin, CA 93660
(559) 693-2462
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0693370

Valley Health Team Inc · San Joaquin, CA
Active · expires Jun 4, 2027
CLIA Number05D0693370
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorRonald Dominguez
Laboratory Phone(559) 639-2462
Laboratory LocationValley Health Team Inc21890 Colorado Avenue, San Joaquin, CA 93660
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Health Team Inc's NPI number?

The NPI number for Valley Health Team Inc is 1033598412. It was assigned to this organization in the NPPES registry on May 19, 2015. The provider is doing business as Kingsburg Community Health Center.

Where is Valley Health Team Inc located?

Valley Health Team Inc is located at 121 West Sierra Street, Kingsburg, CA 93631. The listed phone number is (559) 326-5320.

What is Valley Health Team Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Valley Health Team Inc enrolled in Medicare?

Yes. Valley Health Team Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Health Team Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Valley Health Team Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (10), Dermatology (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Valley Health Team Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0693370) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Health Team Inc was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.