Individual provider Active NPI

Jeanine Parks

  • Rehabilitation Practitioner
  • Fresno, CA
National Provider Identifier
1104011931
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone
(559) 431-7874
NPI assigned
Sep 14, 2007
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

6250 N Millbrook Ave
Fresno, CA 93710-5620

Mailing address

4928 E Clinton Way Ste 108
Fresno, CA 93727-1526
Phone (559) 252-2804

Other practice location 1

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 454-0822

Other practice location 2

4862 E Clinton Ave
Fresno, CA 93703-2873
Phone (559) 252-2450

Other practice location 3

320 E Warner Ave
Fresno, CA 93710-3711
Phone (559) 252-1613

Other practice location 4

1105 E Yale Ave
Fresno, CA 93704-6238
Phone (559) 252-1738

Other practice location 5

4165 E Perrin Rd
Clovis, CA 93619-9118
Phone (559) 297-6893

Other practice location 6

6224 W Belmont Ave
Fresno, CA 93723-9556
Phone (559) 277-9089

Other practice location 7

2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 252-2140

Other practice location 8

643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204

Other practice location 9

3267 W Rialto Ave
Fresno, CA 93722-4138
Phone (559) 244-0881

Other practice location 10

643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204

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
Quality Group Homes, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Quality Group Homes, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Quality Group Homes, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 5, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

4928 E Clinton Way
Ste 108
Fresno, CA 93727
Phone (559) 225-8519

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1104011931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 E CLINTON WAY STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271526",
            "telephone_number": "559-252-2804",
            "fax_number": "559-252-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105620",
            "telephone_number": "559-431-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-454-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4862 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032873",
            "country_code": "US",
            "telephone_number": "559-252-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937103711",
            "country_code": "US",
            "telephone_number": "559-252-1613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937046238",
            "country_code": "US",
            "telephone_number": "559-252-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 E Perrin Rd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199118",
            "country_code": "US",
            "telephone_number": "559-297-6893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239556",
            "country_code": "US",
            "telephone_number": "559-277-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-252-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 E Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105428",
            "country_code": "US",
            "telephone_number": "559-252-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3267 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224138",
            "country_code": "US",
            "telephone_number": "559-244-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 E Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105428",
            "country_code": "US",
            "telephone_number": "559-252-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JEANINE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "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 6, 2025; 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.