NPIMap

Organization Active NPI

Eminence Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fresno, CA
National Provider Identifier
1043469539
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMINENCE HEALTHCARE, INC.
Practice address
6240 W Palo Alto Ave
RM 201, 301, 801-805
Fresno, CA 93722-2001
Phone
(559) 221-8100
Fax
(559) 221-8101
NPI assigned
Sep 9, 2008
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Mr. Juan Garza II
Title
Coo/Program Director
Phone
(559) 221-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6240 W Palo Alto Ave
RM 201, 301, 801-805
Fresno, CA 93722-2001

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

Other identifiers 1

IdentifierTypeStateIssuer
101076OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Eminence Healthcare Services LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

6240 W Palo Alto Ave
Rm 201
Fresno, CA 93722

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1043469539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27707",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297707",
            "telephone_number": "559-221-8100",
            "fax_number": "559-221-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W PALO ALTO AVE",
            "address_2": "RM 201, 301, 801-805",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222001",
            "telephone_number": "559-221-8100",
            "fax_number": "559-221-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "COO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "559-221-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "101076",
            "state": "CA"
        }
    ],
    "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 Jan 28, 2015; 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.