UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
NPI 1093926180
Clinic/Center - Federally Qualified Health Center (FQHC) in Mendota, CA

Q: What is United Health Centers Of The San Joaquin Valley's specialty?

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

Active since May 24, 2007CLIA 05D0665802 · Waiver

121 BARBOZA ST, MENDOTA, CA 93640(559) 655-5000(559) 655-6818 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About United Health Centers Of The San Joaquin Valley NPPES

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (NPI 1093926180) is a healthcare organization registered as a federally qualified health center (fqhc) in Mendota, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Benjamin H Flores, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093926180

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Location Address121 BARBOZA STMendota, CA 93640-1901

Mailing AddressPo Box 790Parlier, CA 93648-0790 · (559) 646-3561 · Fax (559) 646-3642

Phone(559) 655-5000

Fax(559) 655-6818

Organization SubpartNo

Authorized OfficialBenjamin H FloresCeo · (559) 646-6618

Enumeration DateMay 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1093926180 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 BARBOZA ST, Mendota, CA 93640

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Other Identifiers 1

OtherG012015CA · Hf Delta Dental

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 05D0665802

United Health Centers Of The San Joaquin Valley- Mendota · Mendota, CA

Active · expires Jun 10, 2027

CLIA Number05D0665802

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorBanujan Balachandran

Laboratory Phone(559) 655-5000

Laboratory LocationUnited Health Centers Of The San Joaquin Valley- Mendota121 Barboza St, Mendota, CA 93640

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 20

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

BUM KIM DDS

Dentist (General Practice)