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DEL PUERTO HEALTH CENTER
NPI 1063430916
Clinic/Center - Rural Health in Patterson, CA

Active since July 18, 2006CLIA 05D1016529 · Waiver
1700 KEYSTONE PACIFIC PKWY, UNIT B, PATTERSON, CA 95363(209) 892-9100(209) 892-9102 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Del Puerto Health Center NPPES

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

DEL PUERTO HEALTH CENTER (NPI 1063430916) is a healthcare organization registered as a rural health in Patterson, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Karin Hennings, Ceo Administrator, as its authorized official.

NPPES Registry Identity

NPI1063430916
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEL PUERTO HEALTH CARE DISTRICT
Location Address1700 KEYSTONE PACIFIC PKWY, UNIT BPatterson, CA 95363-8874
Mailing AddressPo Box 187Patterson, CA 95363-0187 · (209) 892-8781 · Fax (209) 892-3755
Phone(209) 892-9100
Fax(209) 892-9102
Organization SubpartNo
Authorized OfficialKarin HenningsCeo Administrator · (209) 892-8781
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1063430916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1700 KEYSTONE PACIFIC PKWY, Patterson, CA 95363
Open in Google Maps ↗

Other Names 1

Doing Business AsDel Puerto Health Center

Other Identifiers 1

MedicaidRHM08901FCA

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 05D1016529

Del Puerto Health Center · Patterson, CA
Active · expires Aug 5, 2027
CLIA Number05D1016529
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorJose Rodriguez
Laboratory Phone(209) 892-9100
Laboratory LocationDel Puerto Health Center1700 Keystone Pacific Pkwy Unit B, Patterson, CA 95363
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FATEMA BANDOOKWALA NP
Nurse Practitioner (Family)
1700 KEYSTONE PACIFIC PKWY, SUITE B
PATTERSON, CA 95363
Stanislaus County (209) 892-9100
ZAYA ISMAIL
Physical Therapist
1700 KEYSTONE PACIFIC PKWY
PATTERSON, CA 95363
Stanislaus County (209) 585-8662
INNOVATIVE DIALYSIS OF PATTERSON LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 KEYSTONE PACIFIC PKWY, SUITE A-1
PATTERSON, CA 95363
Stanislaus County (209) 690-3768
MR. NICHOLAS C ANDERSON PTA
Physical Therapy Assistant
1700 KEYSTONE PACIFIC PKWY
PATTERSON, CA 95363
Stanislaus County (209) 895-4206

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 Del Puerto Health Care District's NPI number?

The NPI number for Del Puerto Health Care District is 1063430916. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Del Puerto Health Center.

Where is Del Puerto Health Care District located?

Del Puerto Health Care District is located at 1700 Keystone Pacific Pkwy Unit B, Patterson, CA 95363. The listed phone number is (209) 892-9100.

What is Del Puerto Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Del Puerto Health Care District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1016529) is associated with this NPI, valid through August 5, 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 Del Puerto Health Care District was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.