FRESNO COURNTY WEST COUNTY REGIONAL MENTAL HEALTH CLINIC (NPI# 1245379247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245379247 |
| Entity Type | Organization |
| Organization Name | FRESNO COURNTY WEST COUNTY REGIONAL MENTAL HEALTH CLINIC |
| Practice Address |
275 S Madera Ave Suite 103 Madera CA 93630 |
| Mailing Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Practice Telephone | 5598467500 |
| Practice Fax Number | 5598465892 |
| Mailing Telephone | 5592539180 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COST CENTER | 2323 | 01 |
| Street Address |
275 S MADERA AVE SUITE 103 |
| City | MADERA |
| State | CA |
| Zip Code | 93630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883018 | Courtney Paige Miller | Pharmacist | 14967 W. Whitesbridge Ave., Kerman, CA 93630 | 2019-04-17 |
| 1679927016 | Autumn Ridge, L.p. | Assisted Living Facility | 14280 W Stanislaus, Autumn Ridge Lp, Kerman, CA 93630 | 2016-04-22 |
| 1194068379 | Valley Health Team Inc | Clinic/Center | 702 S. Eighth Street, Kerman, CA 93630 | 2013-04-05 |
| 1770870743 | Maria Blancarte Stevens | Psychologist | 702 S. 8th St., Kerman, CA 93630 | 2011-06-29 |
| 1245556281 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14967 W. Whitesbridge Ave, Kerman, CA 93630 | 2010-04-15 |
| 1295850006 | Ronald Mavin Georgeson | Dentist | 181 S Madera, Kerman, CA 93630 | 2007-03-20 |
| 1780734459 | Fidel Garibay | Counselor | 245 S. Madera Ave, Kerman, CA 93630 | 2007-01-12 |
| 1255432191 | Hari Jacob | Dentist | 184 S Madera Ave, Kerman, CA 93630 | 2006-09-25 |
| 1851373401 | United Health Centers of The San Joaquin Valley | Clinic/Center | 517 S Madera Ave, Kerman, CA 93630 | 2005-11-18 |
| 1306247978 | Tony Nguyen | Pharmacist | 14061 W Whitesbridge Ave, Kerman, CA 93630 | 2014-09-14 |
| Find all providers in zip 93630 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007704 | Francisco G Segoviano | Clinic/Center | 10535 Road 35, Madera, CA 93636-8487 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRESNO COURNTY WEST COUNTY REGIONAL MENTAL HEALTH CLINIC.
| 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.