Healthcare Provider Details

I. General information

NPI: 1275460503
Provider Name (Legal Business Name): VALLEY HEALTH TEAM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S 1ST ST
KERMAN CA
93630-1322
US

IV. Provider business mailing address

PO BOX 737
SAN JOAQUIN CA
93660-0737
US

V. Phone/Fax

Practice location:
  • Phone: 559-843-9600
  • Fax: 555-326-5323
Mailing address:
  • Phone: 559-203-6631
  • Fax: 559-326-5323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SOYLA REYNA-GRIFFIN
Title or Position: CEO
Credential:
Phone: 559-693-2462