MEDICARE: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1720964927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Provider Business Mailing Address
First Line	:	3875 W BEECHWOOD AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-0795
Country	:	US
Telephone Number	:	800-492-4227
Fax Number	:	559-646-6614

Provider Business Practice Location Address
First Line	:	122 EAST CESAR CHAVEZ BOULEVARD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93706-0000
Country	:	US
Telephone Number	:	800-492-4227
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BILLING
Name	:	MARY LOU LOPEZ
Credential	:
Telephone Number	:	800-492-4227

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY ” Practice Location

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