Active NPI
Sequoia Community Health Foundation, Inc.
- Federally Qualified Health Center (FQHC)
- Fresno, CA
National Provider Identifier
1124070552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 040000549
- Legal business name
- SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.
- Practice address
- 302 Fresno St
Suite 102
Fresno, CA 93706-3600 - Phone
- (559) 457-5700
- Fax
- (559) 457-5790
- NPI assigned
- May 16, 2006
- 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
- Dr. John L. Maffeo, M.D.
- Title
- Chief Executive Officer
- Phone
- (559) 487-7806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 040000549 | CA | Primary |
Addresses
Primary practice location
302 Fresno St
Suite 102
Fresno, CA 93706-3600
Mailing address
1945 N Fine Ave
Fresno, CA 93727-1528
Phone (559) 457-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70996F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
302 Fresno St
Ste 102
Fresno, CA 93706
Phone (559) 442-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1124070552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 N FINE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271528",
"telephone_number": "559-457-5283",
"fax_number": "559-457-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 FRESNO ST",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937063600",
"telephone_number": "559-457-5700",
"fax_number": "559-457-5790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "MAFFEO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "559-487-7806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "040000549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70996F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Sequoia Community Health Foundation, Inc
- Sequoia Community Health Foundation, Inc
- Sequoia Community Health Foundation, Inc
- Sequoia Community Health Foundation, Inc
- Sequoia Community Health Foundation, Inc
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation, Inc.
- Sequoia Community Health Foundation,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.