VALLEY TEEN RANCH (NPI# 1295191260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295191260 |
| Entity Type | Organization |
| Organization Name | VALLEY TEEN RANCH |
| Practice Address |
10535 Road 35 Madera CA 93636-8487 |
| Mailing Address |
2610 W Shaw Ln Ste 105 Fresno CA 93711-2775 |
| Practice Telephone | 5594371144 |
| Practice Fax Number | 5594385004 |
| Mailing Telephone | 5594371144 |
| Mailing Fax Number | 5594385004 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | MS. CONNIE RAE CLENDENAN (CEO) |
| Authorized Official Telephone | 5594371144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
200001AN | CA | Ambulatory Health Care Facilities |
| Street Address |
10535 ROAD 35 |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952540213 | Leslie A Hoyt | Psychologist | 10535 Road 35, Madera, CA 93636-8487 | 2009-02-10 |
| 1710502521 | Rochelle Lupio | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2020-06-08 |
| 1235752544 | Jeannette Barriente Magdaleno | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2020-05-20 |
| 1336760800 | Hannah Raquel Whatley | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2020-05-06 |
| 1538796917 | Matthew James Hill | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2020-03-25 |
| 1669007704 | Francisco G Segoviano | Clinic/Center | 10535 Road 35, Madera, CA 93636-8487 | 2020-03-09 |
| 1396383899 | Fabiola Rodriguez | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2019-12-15 |
| 1760047039 | Carlos Vigil | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2019-05-02 |
| 1679136287 | Angelica Rodriguez | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2019-04-18 |
| 1578126330 | Jesus Baez | Counselor | 10535 Road 35, Madera, CA 93636-8487 | 2019-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1740838994 | Francisco Alvarez | Nurse Practitioner | 9300 Valley Childrens Pl, Madera, CA 93636 | 2019-08-30 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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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.