Organization
OMNI FAMILY HEALTH
Active
Organization
OMNI FAMILY HEALTH
Active
Other names
National Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE OFFICER)
(661) 630-7050
Entity
Organization
Contact information
Practice address
320 JAMES ST, SHAFTER, CA 93263-2033
(661) 459-1900
(661) 459-1974
Mailing address
4900 CALIFORNIA AVENUE, 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 459-1974
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
050000524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70805F
BCDP
CA
05
—
FHC70805F
—
CA
01
—
HAP70805F
FAMILY PACT
CA
05
—
PHA322610
—
CA
01
—
ZZZ03011Z
MEDICARE PART B
CA
Enumeration date
04/26/2007
Last updated
07/26/2018
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