NPIMap

Organization Active NPI

J&P Spine Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
National Provider Identifier
1164980744
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
J&P SPINE CENTER INC.
Practice address
1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone
(559) 538-3145
NPI assigned
Mar 4, 2019
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Ginger Johnson
Title
Credentialing
Phone
(818) 294-2657

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118

Mailing address

1593 E Green Sage Ave
Fresno, CA 93730-8863
Phone (682) 433-9287

Other practice location 1

530 Kings County Dr Ste 107
Hanford, CA 93230-3579
Phone (559) 538-3145

Other practice location 2

6079 N Fresno St Ste 101
Fresno, CA 93710-5276
Phone (682) 433-9287

Other practice location 3

7050 N Recreation Ave Ste 101
Fresno, CA 93720-8001
Phone (559) 538-3145

Other practice location 4

457 E Almond Ave Ste 105
Madera, CA 93637-5764
Phone (559) 538-3145

Other identifiers 2

IdentifierTypeStateIssuer
1073957932MedicaidCA
D08605524MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190404000979 CA Part B Supplier - Clinic/Group Practice 1850632670 Receives reassigned benefits from 16 practitioners
Practice locations: Fresno, CA; Madera, CA; Hanford, CA
O20200413000551 CA DME Supplier - Physician - Interventional Pain Management 1850632670 Practice locations: Fresno, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

530 Kings County Dr
#107
Hanford, CA 93230

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1164980744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E GREEN SAGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937308863",
            "telephone_number": "682-433-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-538-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Kings County Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303579",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6079 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105276",
            "country_code": "US",
            "telephone_number": "682-433-9287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7050 N Recreation Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937208001",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "457 E Almond Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375764",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J&P SPINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "818-294-2657"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073957932",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D08605524",
            "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 Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.