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MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC
NPI 1528202090
Clinic/Center - Rural Health in Los Banos, CA

Active since April 28, 2009CLIA 05D2266234 · Waiver
400 W I ST STE C, LOS BANOS, CA 93635(209) 710-6333(209) 827-0554 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Memorial Hospital Los Banos/rural Health Clinic NPPES

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

MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC (NPI 1528202090) is a healthcare organization registered as a rural health in Los Banos, California and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 7, 2026 and lists John Gates, Cfo Vpba, as its authorized official.

NPPES Registry Identity

NPI1528202090
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSUTTER CENTRAL VALLEY HOSPITALS
Location Address400 W I ST STE CLos Banos, CA 93635-3459
Mailing AddressPo Box 740152Los Angeles, CA 90074-0152 · (855) 398-1633 · Fax (209) 569-7417
Phone(209) 710-6333
Fax(209) 827-0554
Organization SubpartNo
Authorized OfficialJohn GatesCfo Vpba · (510) 450-7357
Enumeration DateApril 28, 2009
Last NPPES UpdateApril 21, 2016
✔ NPI 1528202090 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 · 040000177
400 W I ST STE C, Los Banos, CA 93635
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Hospital Los Banos/rural Health Clinic

Other Identifiers 2

Medicare PIN55-3998
Medicare OSCAR/certification553998CA

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 05D2266234

Memorial Hospital Rural Los Banos Health Clinic · Los Banos, CA
Active · expires Aug 7, 2026
CLIA Number05D2266234
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorScott Silveira
Laboratory Phone(209) 710-6333
Laboratory LocationMemorial Hospital Rural Los Banos Health Clinic1253 W I Street, Los Banos, CA 93635
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JANICE P JAMES FNP
Nurse Practitioner (Family)
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 710-6333
DR. SARAH ANN S MATOUK D.P.M.
Podiatrist
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 827-2766
DR. MONIF MOUSSA MATOUK DPM
Podiatrist
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 827-2766

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 Sutter Central Valley Hospitals's NPI number?

The NPI number for Sutter Central Valley Hospitals is 1528202090. It was assigned to this organization in the NPPES registry on April 28, 2009.

Where is Sutter Central Valley Hospitals located?

Sutter Central Valley Hospitals is located at 400 W I St Ste C, Los Banos, CA 93635. The listed phone number is (209) 710-6333.

What is Sutter Central Valley Hospitals's specialty?

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

Does Sutter Central Valley Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2266234) is associated with this NPI, valid through August 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sutter Central Valley Hospitals was last updated on April 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.