Individual provider Active NPI

Andrea Faldon

  • Addiction (Substance Use Disorder) Counselor
  • Hanford, CA
National Provider Identifier
1003173535
Registry record updated Apr 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
F1008141131 Issued in CA
Practice address
1101 Kaweah St
Hanford, CA 93230-3638
Phone
(559) 410-0104
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X F1008141131 CA Primary

Addresses

Primary practice location

1101 Kaweah St
Hanford, CA 93230-3638

Mailing address

1101 Kaweah St
Hanford, CA 93230-3638
Phone (559) 410-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F1008141131CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335052800000",
    "number": "1003173535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KAWEAH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303638",
            "telephone_number": "559-410-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KAWEAH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303638",
            "telephone_number": "559-410-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDON",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-22",
        "last_updated": "2012-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "F1008141131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.