NPIMap

Organization Active NPI

County of Fresno

  • Clinic/Center
  • Fresno, CA
National Provider Identifier
1043341597
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF FRESNO
Practice address
3333 E American Ave
Juvenile Justice Center, Medical Services
Fresno, CA 93725-9235
Phone
(559) 600-3996
Fax
(559) 600-7466
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mr. David Pomaville, M.B.A., R.E.H.S.
Title
Director
Phone
(559) 600-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3333 E American Ave
Juvenile Justice Center, Medical Services
Fresno, CA 93725-9235

Mailing address

PO Box 11867
Correctional Health - Juvenile Justice Center
Fresno, CA 93775-1867
Phone (559) 600-3229

Other names 1

  • Department of Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Foothills HLTH C115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1043341597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11867",
            "address_2": "CORRECTIONAL HEALTH - JUVENILE JUSTICE CENTER",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937751867",
            "telephone_number": "559-600-3229",
            "fax_number": "559-600-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E AMERICAN AVE",
            "address_2": "JUVENILE JUSTICE CENTER, MEDICAL SERVICES",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259235",
            "telephone_number": "559-600-3996",
            "fax_number": "559-600-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "POMAVILLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-600-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A., R.E.H.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 2014; 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.