NPIMap

Organization Active NPI

California Department of Veterans Affairs - Fresno Home

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1225469307
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
107206701 Issued in CA
Legal business name
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS - FRESNO HOME
Practice address
2811 W California Ave
Fresno, CA 93706-2307
Phone
(559) 493-4400
Fax
(559) 493-4204
NPI assigned
Nov 27, 2013
Organization subpart
Yes
Parent organization
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mr. Rojirio De la Cerda
Title
Administrator
Phone
(559) 493-4241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 107206701 CA Primary

Addresses

Primary practice location

2811 W California Ave
Fresno, CA 93706-2307

Mailing address

2811 W California Ave
Fresno, CA 93706-2307
Phone (559) 493-4400

National Provider Directory

National Provider Directory
Tax ID family
Department of Veterans Affairs of the State of California7 organizations share this tax ID, including this one
Part of
Department of Veterans Affairs of the State of California

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1225469307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062307",
            "telephone_number": "559-493-4400",
            "fax_number": "559-493-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062307",
            "telephone_number": "559-493-4400",
            "fax_number": "559-493-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS - FRESNO HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "DE LA CERDA",
        "authorized_official_first_name": "ROJIRIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-493-4241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107206701",
            "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 Nov 27, 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.