CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION (NPI# 1295171007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295171007 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION |
| Other Organization Name | CENTRAL CALIFORNIA AUTISM CENTER |
| Practice Address |
5048 N Jackson Ave M S Ls138 Fresno CA 93740-0001 |
| Practice Telephone | 5592786773 |
| Mailing Telephone | 5592786773 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | DR. AMANDA ADAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5592781028 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1-12-12031 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Central California Autism Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821362211 | California State University Fresno Foundation | Early Intervention Provider Agency | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2012-03-02 |
| Street Address |
5048 N JACKSON AVE M S LS138 |
| City | FRESNO |
| State | CA |
| Zip Code | 93740-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753912 | Fernando Manriquez Magana | Specialist/Technologist | 5241 Nmaple Ave, Fresno, CA 93740 | 2020-09-01 |
| 1770039414 | Riana R Pryor | Specialist/Technologist | 5275 N. Campus Dr., M/s Sg28, Fresno, CA 93740 | 2016-09-01 |
| 1194178087 | Zoe Koda Higman | Specialist/Technologist | 1630 E Bulldog Lane, Meyers Family Sports Medicine Center, Fresno, CA 93740 | 2016-07-15 |
| 1437228483 | Student Health Center | Clinic/Center | 5044n Barton Ave, Fresno, CA 93740 | 2006-11-06 |
| 1447759287 | Kali Hartzold | Specialist/Technologist | 1630 East Bulldog Lane, Fresno, CA 93740-0001 | 2018-02-07 |
| 1538685540 | Natalie Davila | Specialist/Technologist | 5275 N Campus Dr M/s Sg28, Fresno, CA 93740-0001 | 2017-08-21 |
| 1073033148 | Gary Lyle Salinas Jr. | Specialist/Technologist | Department of Kinesiology 5275 N Campus, Fresno, CA 93740-0001 | 2017-06-21 |
| 1366828147 | Timothy Yeager | Behavioral Analyst | 5048 N Jackson Ave, Fresno, CA 93740-0001 | 2015-08-04 |
| 1932599362 | Krista Bayers | Specialist/Technologist | 1630 E Bulldog Ln, Fresno, CA 93740-0001 | 2015-01-22 |
| 1326325770 | Recia Schuil | Specialist/Technologist | 1620 E Bulldog Ln Of87, Fresno, CA 93740-0001 | 2011-11-14 |
| Find all providers in zip 93740 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1003413600 | Kings View Corporation | Community/Behavioral Health | 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 | 2020-10-06 |
| 1396360855 | North Star Wellness Center, Inc | Community/Behavioral Health | 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 | 2020-06-10 |
| 1710509377 | Mary Kay Buckley, Psychotherapist Inc | Community/Behavioral Health | 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 | 2020-05-17 |
| 1992345797 | Quality Group Homes, Inc. | Community/Behavioral Health | 643 E Sample Ave, Fresno, CA 93710-5428 | 2020-01-09 |
| 1790321412 | Majesty Holistic Health Services | Community/Behavioral Health | 2906 Valiant Elm St, Fresno, TX 77545-8160 | 2019-11-19 |
| 1508410341 | Fresno Youth Care Homes, Inc. | Community/Behavioral Health | 64 E Weldon Ave, Fresno, CA 93704-5956 | 2019-07-30 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1114431897 | My Time Recovery, LLC | Community/Behavioral Health | 1107 W Rialto Ave, Fresno, CA 93705-0918 | 2017-11-17 |
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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.