Peach Tree Healthcare
NPI 1104526664 · Federally Qualified Health Center (FQHC) · Olivehurst, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peach Tree Healthcare is a Federally Qualified Health Center (FQHC) organization in Olivehurst, CA (NPI 1104526664).
Provider details
- NPI number
- 1104526664
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Stone, Ceo(530) 749-3242
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Peach Tree Lindhurst High School
Registry dates
- Enumerated
- 2023-03-03
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Frequently asked questions
- What is Peach Tree Healthcare's NPI number?
- Peach Tree Healthcare's National Provider Identifier (NPI) is 1104526664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach Tree Healthcare?
- Peach Tree Healthcare is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Peach Tree Healthcare located?
- Peach Tree Healthcare's practice location on file with NPPES is 4446 Olive Ave Bldg P-5, Olivehurst, CA 95961-4738.
- What is Peach Tree Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Peach Tree Healthcare is (530) 749-3242.
- Does Peach Tree Healthcare accept Medicare?
- Peach Tree Healthcare is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peach Tree Healthcare?
- The authorized official listed on Peach Tree Healthcare's NPPES record is Gregory Stone, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach Tree Healthcare's NPI active?
- Yes — Peach Tree Healthcare's NPI (1104526664) is active in the NPPES registry as of the last update on 2023-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.