Active NPI
Supplemental Health Care
- Health Maintenance Organization
- Fresno, CA
National Provider Identifier
1063708527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- SUPPLEMENTAL HEALTH CARE
- Practice address
- 575 E. Alluvial Avenue
Fresno, CA 93720 - Phone
- (866) 268-2411
- NPI assigned
- Jun 23, 2011
- Last updated
- Jun 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudia Hanger, OT
- Title
- Occupatioanl Therapist
- Phone
- (916) 705-2655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | CA | Primary |
Addresses
Primary practice location
575 E. Alluvial Avenue
Fresno, CA 93720
Mailing address
575 E Alluvial Ave
Fresno, CA 93720-2822
Phone (866) 268-2411
National Provider Directory
National Provider DirectoryLocations
575 E Alluvial Ave
Fresno, CA 93720
Phone (559) 224-6350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1063708527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E ALLUVIAL AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202822",
"telephone_number": "866-268-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E. ALLUVIAL AVENUE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "866-268-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPLEMENTAL HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "HANGER",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "OCCUPATIOANL THERAPIST",
"authorized_official_telephone_number": "916-705-2655",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"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 Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.