AMPLA HEALTH GRIDLEY MEDICAL
NPI 1639194004
Clinic/Center - Federally Qualified Health Center (FQHC) in Gridley, CA

Q: What is Ampla Health's NPI number?

The NPI number for Ampla Health is 1639194004. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is also known as Ampla Health Gridley Medical.

Q: What is Ampla Health's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ampla Health was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2006

520 KENTUCKY ST, GRIDLEY, CA 95948(530) 846-6231(530) 846-4051 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Jul 21, 2020 (2 updates tracked since 2020).

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About Ampla Health Gridley Medical NPPES

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

AMPLA HEALTH GRIDLEY MEDICAL (NPI 1639194004) is a healthcare organization registered as a federally qualified health center (fqhc) in Gridley, California and active in the NPI registry since July 2006. The organization lists Benjamin H Flores, President, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1639194004

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameAMPLA HEALTH

Location Address520 KENTUCKY STGridley, CA 95948-2116

Mailing AddressPo Box AdYuba City, CA 95992-1396 · (530) 751-3778 · Fax (530) 751-1237

Phone(530) 846-6231

Fax(530) 846-4051

Organization SubpartNo

Authorized OfficialBenjamin H FloresPresident, Chief Executive Officer · (530) 751-3778

Enumeration DateJuly 13, 2006

Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2024

✔ NPI 1639194004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in CA · 230000112

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

520 KENTUCKY ST, Gridley, CA 95948

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Other Names 1

Other NameAmpla Health Gridley Medical

Other Identifiers 3

OtherHAP03878FCA · Family Planning

OtherBCP03878FCA · Ewc:cdp: Bcedp

Medicaid1865025CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JENNIFER INGLET PAC

Physician Assistant