Organization Active NPI

Fresno Healthcare Center, Inc.

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1013423599
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FRESNO HEALTHCARE CENTER, INC.
Practice address
3233 N Chestnut Ave Ste 102
Fresno, CA 93726-6441
Phone
(559) 456-1167
Fax
(559) 456-1183
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Ammala Sophabmexai
Title
Office Manager
Phone
(559) 456-1167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CA Primary

Addresses

Primary practice location

3233 N Chestnut Ave Ste 102
Fresno, CA 93726-6441

Mailing address

3233 N Chestnut Ave Ste 102
Fresno, CA 93726-6441
Phone (559) 456-1167

National Provider Directory

National Provider Directory

Locations

3233 N Chestnut Ave
Ste 102
Fresno, CA 93726
Phone (559) 456-1167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1013423599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N CHESTNUT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266441",
            "telephone_number": "559-456-1167",
            "fax_number": "559-456-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N CHESTNUT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266441",
            "telephone_number": "559-456-1167",
            "fax_number": "559-456-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "SOPHABMEXAI",
        "authorized_official_first_name": "AMMALA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-456-1167"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.