NPIMap

Organization Active NPI

Asian Pacific Islander

  • Adult Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1215076419
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
000001084 Issued in CA
Legal business name
ASIAN PACIFIC ISLANDER
Practice address
4445 E Inyo St
Fresno, CA 93702-2977
Phone
(559) 253-9131
NPI assigned
Feb 5, 2007
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dawan Utecht
Title
Dir, DBH
Phone
(559) 600-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 000001084 CA Primary

Addresses

Primary practice location

4445 E Inyo St
Fresno, CA 93702-2977

Mailing address

5108 E Clinton Way Ste 108
Fresno, CA 93727-2043
Phone (559) 452-3463

Other identifiers 2

IdentifierTypeStateIssuer
000001084MedicaidCA
2185OtherCOST CENTER

National Provider Directory

National Provider Directory
Tax ID family
Fresno County Youth Link115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4445 E Inyo St
Fresno, CA 93702
Phone (559) 253-9131

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1215076419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 E CLINTON WAY STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937272043",
            "telephone_number": "559-452-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 E INYO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022977",
            "telephone_number": "559-253-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN PACIFIC ISLANDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "UTECHT",
        "authorized_official_first_name": "DAWAN",
        "authorized_official_title_or_position": "DIR, DBH",
        "authorized_official_telephone_number": "559-600-6895"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "000001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001084",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2185",
            "state": null
        }
    ],
    "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 Sep 25, 2013; 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.