Omni Family Health | |
1215 Jefferson Street Delano CA 93215-2203 | |
(866) 707-6664 | |
(661) 746-9197 |
Full Name | Omni Family Health |
---|---|
Speciality | Clinic/Center |
Location | 1215 Jefferson Street, Delano, California |
Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6616307050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Omni Family Health 4900 California Ave 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 1215 Jefferson Street Delano CA 93215-2203 Ph: (866) 707-6664 |
NPI Number | 1306852496 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 9234176363 |
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Medicare Enrollment ID | O20051024001021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306852496 | NPI | - | NPPES |
HAP70972F | Other | CA | DHCS |
CLP 320413 | Medicaid | CA | |
FHC70972F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000654 (California) | Primary |
Provider Name | Norbert Gal |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225197627 PECOS PAC ID: 1658373055 Enrollment ID: I20070214000295 |
Provider Name | Jane Y Li |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174742001 PECOS PAC ID: 6002999000 Enrollment ID: I20080214000220 |
Provider Name | Debra Metter |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649371055 PECOS PAC ID: 4486891447 Enrollment ID: I20130510000245 |
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