Individual provider Active NPI

Donaciano Nunez

  • Addiction (Substance Use Disorder) Counselor
  • Visalia, CA
National Provider Identifier
1003454026
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3107 E Kaweah Ave
Visalia, CA 93292-3309
Phone
(559) 754-2705
Fax
(559) 754-2708
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3107 E Kaweah Ave
Visalia, CA 93292-3309

Mailing address

3107 E Kaweah Ave
Visalia, CA 93292-3309
Phone (559) 754-2705

Other practice location 1

755 S Pratt St
Tulare, CA 93274-5156
Phone (707) 631-7628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2019.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1003454026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 E KAWEAH AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923309",
            "telephone_number": "559-754-2705",
            "fax_number": "559-754-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 E KAWEAH AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923309",
            "telephone_number": "559-754-2705",
            "fax_number": "559-754-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 S Pratt St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932745156",
            "country_code": "US",
            "telephone_number": "707-631-7628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "DONACIANO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.