FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH (NPI# 1083936785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083936785 |
| Entity Type | Organization |
| Organization Name | FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH |
| Other Organization Name | PERINATAL PROGRAM |
| Practice Address |
142 E California Ave Fresno CA 93706 |
| Practice Telephone | 5594538270 |
| Practice Fax Number | 5594533355 |
| Mailing Telephone | 5594538270 |
| Mailing Fax Number | 5594533355 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | MRS. DONNA TAYLOR (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 5594538541 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPARTMENT OF MENTAL HEALTH | XXXX | 01 |
| Other Name | Type Code |
|---|---|
| Perinatal Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978553 | Fresno County Department of Behavioral Health | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
| 1417384298 | Fresno County Department of Behavioral Health | Health Maintenance Organization | 4441 East Kings Canyon Road, Fresno, CA 93702 | 2013-10-10 |
| 1548554165 | Fresno County Department of Behavioral Health | Counselor | 4441 E Kings Canyon Rd, # 317, Fresno, CA 93705 | 2011-05-31 |
| Street Address |
142 E CALIFORNIA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356379507 | Robert Lee Oldham | Preventive Medicine | 142 E California Ave, Fresno, CA 93706-3642 | 2006-06-28 |
| 1306497789 | Sona A. Yemenjian | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2019-09-26 |
| 1134681828 | Sharmaine Whitten | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2019-04-02 |
| 1881017341 | Hillary Leroux | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706 | 2014-02-03 |
| 1053742858 | Amy Timmons | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2013-12-03 |
| 1932442845 | Lucia Avila-martinez | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2013-03-28 |
| 1205102878 | Vanessa Verduzco | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2012-03-28 |
| 1639442478 | Laurel J Medlock | Case Manager/Care Coordinator | 142 E California Ave, Fresno, CA 93706-3642 | 2012-02-09 |
| 1073895462 | Erika Hernandez | Counselor | 142 E California Ave, Fresno, CA 93706-3642 | 2011-09-13 |
| 1649575200 | Christine Anne Mulholland | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2011-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689710949 | Families First, Inc. | Preferred Provider Organization | 5168 N Blythe Ave Ste 101, Fresno, CA 93722-6429 | 2007-01-30 |
| 1730234808 | Familiesfirst, Inc. | Preferred Provider Organization | 5710 E Gettysburg Ave, Fresno, CA 93727-7210 | 2007-01-25 |
| 1770917064 | Nicholas Orme M.d.,inc. | Preferred Provider Organization | 6183 N Fresno St Ste 101, Fresno, CA 93710-8611 | 2013-08-22 |
| 1871845263 | Frank L. Cantrell M.d.,inc. | Preferred Provider Organization | 6057 N 1st St, Suite 101, Fresno, CA 93710-5468 | 2012-10-09 |
| 1497763635 | Xuewen S. Cui Dds Inc. | Preferred Provider Organization | 407 S Clovis Ave Ste 107, Fresno, CA 93727-4284 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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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.