NPIMap

Individual provider Active NPI

Curtis Donovan

  • Case Manager/Care Coordinator
  • Fresno, CA
National Provider Identifier
1033740949
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2142 N Blythe Ave
Fresno, CA 93722-5402
Phone
(559) 261-5083
NPI assigned
Jan 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2142 N Blythe Ave
Fresno, CA 93722-5402

Mailing address

4460 W Shaw Ave # 595
Fresno, CA 93722-6210
Phone (559) 261-5083

Other practice location 1

3765 W Dakota Ave
Fresno, CA 93722-4784
Phone (559) 271-8421

Other practice location 2

114 S Brawley Ave
Fresno, CA 93706-2103
Phone (559) 443-2166

Other practice location 3

3793 N Polk Ave
Fresno, CA 93722-9763
Phone (559) 271-1206

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

Practice roles

OrganizationSpecialtyStatusNew patients
DN Associates Residential Care Past Accepting new patients
Core Conditions, Inc. Past Accepting new patients
Core Conditions, Inc. Past Accepting new patients
Core Conditions, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1033740949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 W SHAW AVE # 595",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226210",
            "telephone_number": "559-261-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N BLYTHE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937225402",
            "telephone_number": "559-261-5083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3765 W Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224784",
            "country_code": "US",
            "telephone_number": "559-271-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 S Brawley Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937062103",
            "country_code": "US",
            "telephone_number": "559-443-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3793 N Polk Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937229763",
            "country_code": "US",
            "telephone_number": "559-271-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "CURTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "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 Oct 21, 2024; 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.