WESTCARE CALIFORNIA, INC. (NPI# 1417480898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417480898 |
| Entity Type | Organization |
| Organization Name | WESTCARE CALIFORNIA, INC. |
| Practice Address |
1715 David E Cook Way Clovis CA 93611-0593 |
| Mailing Address |
1505 N Chestnut Ave Fresno CA 93703-4504 |
| Practice Telephone | 5592514800 |
| Mailing Telephone | 5592514800 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | MR. CLEADUS SHELTON (DIRECTOR CONTRACT COMPLIANCE) |
| Authorized Official Telephone | 5592514800 |
| Authorized Official Credential | CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685417 | Westcare California, Inc. | Clinic/Center | 120 E Grangeville Blvd, Hanford, CA 93230-3067 | 2018-10-23 |
| 1114395134 | Westcare California, Inc. | Clinic/Center | 1045 Bethel Ave, Sanger, CA 93657-2985 | 2015-09-08 |
| 1609243690 | Westcare California, Inc. | Clinic/Center | 16083 Jersey Ave, Lemoore, CA 93245-9701 | 2015-08-26 |
| 1215311410 | Westcare California, Inc. | Case Management | 1398 E Bulldog Ln, Fresno, CA 93710-7208 | 2015-07-17 |
| 1619355880 | Westcare California, Inc. | Case Management | 1388 E Bulldog Ln, Fresno, CA 93710-7209 | 2015-05-08 |
| 1649658824 | Westcare California, Inc. | Clinic/Center | 1900 N Gateway Blvd, Fresno, CA 93727-1622 | 2015-05-08 |
| 1033355425 | Westcare California, Inc. | Clinic/Center | 1128 Dairy Ave, Corcoran, CA 93212-2501 | 2009-01-06 |
| 1306082797 | Westcare California, Inc. | Clinic/Center | 209 N Park Ave, Avenal, CA 93204-1425 | 2009-01-06 |
| 1316183700 | Westcare California, Inc. | Clinic/Center | 410 E. 7th Street, Suite #5, #7, #9, Hanford, CA 93230-4606 | 2009-01-06 |
| 1497939441 | Westcare California, Inc. | Substance Abuse Rehabilitation Facility | 2855 W. Whitesbridge Road, Fresno, CA 93706 | 2007-12-27 |
| Street Address |
1715 DAVID E COOK WAY |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-0593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851422166 | Westcare California, Inc. | Clinic/Center | 1550 Herndon Ave, Clovis, CA 93611-0569 | 2007-03-08 |
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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.