SEQUOIA COMMUNITY HEALTH FOUNDATION, INC. (NPI# 1629020789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629020789 |
| Entity Type | Organization |
| Organization Name | SEQUOIA COMMUNITY HEALTH FOUNDATION, INC. |
| Practice Address |
1350 S Orange Ave Fresno CA 93702-3463 |
| Mailing Address |
1945 N Fine Ave Fresno CA 93727-1528 |
| Practice Telephone | 5594575400 |
| Practice Fax Number | 5594575491 |
| Mailing Telephone | 5594575283 |
| Mailing Fax Number | 5594575892 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. JOHN L MAFFEO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5594877806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
04000014 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PART B/NHIC | ZZZ89755Z | 01 |
| CA | FHC70037F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496671 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2006-05-20 |
| 1770535825 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 2021 Divisadero St, Fresno, CA 93701-2013 | 2006-05-17 |
| 1760434831 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 2505 Divisadero St, Suite 100, Fresno, CA 93721-1401 | 2006-05-17 |
| 1124070552 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 302 Fresno St, Suite 102, Fresno, CA 93706-3600 | 2006-05-16 |
| Street Address |
1350 S ORANGE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882360 | Mark Anthony Pinto | Internal Medicine | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2005-09-21 |
| 1275016172 | Alejandra Mata | Social Worker | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2018-09-07 |
| 1477925147 | Ayako Bonesteel | Nurse Practitioner | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2015-10-21 |
| 1598907255 | Haley Margaret Hendrix | Registered Nurse | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1912149691 | Julie Nicole | Obstetrics & Gynecology | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1083864557 | Clinica Sierra Vista | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2008-09-22 |
| 1164672747 | Clinica Sierra Vista | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2008-09-19 |
| 1740439314 | Clinica Sierra Vista | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2008-09-18 |
| 1831396431 | Anna Nguyen | Pediatrics | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-06-28 |
| 1780711150 | Sequoia Community Health Foundation | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129112 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1901 E Shields Ave Ste 103, Fresno, CA 93726-5313 | 2020-06-23 |
| 1891319562 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2610 Tuolumne St Bldg B, Fresno, CA 93721-1227 | 2020-05-29 |
| 1457974206 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2630 Tuolumne St Bldg A, Fresno, CA 93721-1227 | 2020-05-27 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1053969642 | Clinca Sierra Vista | Clinic/Center | 1510 N Lafayette Ave, Fresno, CA 93728-1123 | 2019-08-28 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1972908333 | Clinca Sierra Vista | Clinic/Center | 4498 N Brawley Ave, Fresno, CA 93722-3917 | 2014-10-28 |
| 1790100402 | Clinca Sierra Vista | Clinic/Center | 1120 East Church Ave, Fresno, CA 93706 | 2014-03-04 |
| 1033486048 | Clinica Sierra Vista | Clinic/Center | 3645 W Shaw Ave Ste 101, Fresno, CA 93711-3206 | 2011-11-18 |
| 1609026285 | Clinica Sierra Vista | Clinic/Center | 3727 N 1st St Ste 106, Fresno, CA 93726-5628 | 2008-09-19 |
| Find all providers in FRESNO | ||||
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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.