FRESNO COUNTY CALIFORNIA CLINIC (NPI# 1013069830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013069830 |
| Entity Type | Organization |
| Organization Name | FRESNO COUNTY CALIFORNIA CLINIC |
| Practice Address |
851 Van Ness Ave Fresno CA 93721-2637 |
| Mailing Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Practice Telephone | 5594881318 |
| Mailing Telephone | 5594881318 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GIANG T NGUYEN (DIRECTOR, FRESNO CO MENTAL HEALTH) |
| Authorized Official Telephone | 5592539180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COST CENTER | 2314C | 01 |
| Street Address |
851 VAN NESS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497096721 | Central Valley Medical Services Corporation | Clinic/Center | 851 Van Ness Ave, Fresno, CA 93721-2637 | 2013-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1629699327 | A New Awakening of The San Joaquin | Clinic/Center | 1121 S Dee Ann Ave, Fresno, CA 93727-0847 | 2020-05-04 |
| 1487193058 | Haskins Residential Care | Clinic/Center | 1037 S Chestnut Ave, Fresno, CA 93702-3907 | 2017-02-15 |
| 1710430418 | St.joseph Counseling Center | Clinic/Center | 5430 N. Palm #108, St. Joseph Counseling Center, Fresno, CA 93704-1900 | 2016-07-28 |
| 1699909812 | County of Fresno | Clinic/Center | 4441 East Kings Canyon Road, Fresno, CA 93702 | 2009-05-04 |
| 1366580540 | Baart Behavioral Health Services, Inc | Clinic/Center | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2007-02-01 |
| 1457952756 | Kristin O. Tristao, Ph.d., Psychologist, PC | Clinic/Center | 6700 N 1st St Ste 138, Fresno, CA 93710-3956 | 2020-11-03 |
| 1922607092 | Jus 4 Today | Clinic/Center | 3752 N 1st St, Fresno, CA 93726-5601 | 2020-10-20 |
| 1851925507 | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. | Clinic/Center | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2020-03-02 |
| 1598396053 | Fresno County Superintendent of Schools | Clinic/Center | 2280 N Valentine Ave, Fresno, CA 93722-5553 | 2020-02-03 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.