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NPI Code Detail

MEDICARE: OMNI FAMILY HEALTH

MEDICARE: OMNI FAMILY HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)120000390CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BCP70592FOTHERCACDHS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4HAP70592FOTHERCADHCS

General Provider Information

NPI Number : 1417962457
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNI FAMILY HEALTH
Provider Business Mailing Address
First Line : 4900 CALIFORNIA AVE
Second Line : 400B
City : BAKERSFIELD
State : CA
Zip : 93309-7081
Country : US
Telephone Number : 661-459-1900
Fax Number : 661-746-9197
Provider Business Practice Location Address
First Line : 1001 MAIN ST
Second Line :
City : DELANO
State : CA
Zip : 93215-1731
Country : US
Telephone Number : 866-707-6664
Fax Number : 661-746-9197
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. FRANCISCO L CASTILLON
Credential :
Telephone Number : 661-630-7045
Provider Enumeration Date : 07/29/2006
Last Update Date : 07/08/2025

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Directions to “OMNI FAMILY HEALTH ” Practice Location

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