| Omni Family Health | |
|
1110 W. Visalia Rd #102 Exeter CA 93221-2203 | |
| (661) 459-1900 | |
| (661) 746-9197 |
| Full Name | Omni Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 W. Visalia Rd, Exeter, 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 Ste 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 1110 W. Visalia Rd #102 Exeter CA 93221-2203 Ph: (661) 459-1900 |
| NPI Number | 1669014825 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 9234176363 |
|---|---|
| Medicare Enrollment ID | O20200323001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669014825 | NPI | - | NPPES |
| W33511 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
San Joaquin Prime Care Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 E Pine St, Exeter, CA 93221 Phone: 559-592-2134 Fax: 559-592-5017 | |
Shyam Bhaskar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Maple St, Exeter, CA 93221 Phone: 559-592-6039 Fax: 559-635-7106 | |
Rulon Douglas Owen Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 N Kaweah Ave, Exeter, CA 93221 Phone: 559-592-3889 |