Individual provider Active NPI

Karin Dawn Chiljian, BA AND B.S

  • Recreation Therapist
  • Fresno, CA
National Provider Identifier
1235289752
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone
(559) 600-6745
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Primary
Counselor 101Y00000X

Addresses

Primary practice location

3133 N Millbrook Ave
Fresno, CA 93703-1425

Mailing address

370 E Deer Creek LN
Fresno, CA 93720-0854
Phone (559) 600-6745

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1235289752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E DEER CREEK LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200854",
            "telephone_number": "559-600-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILJIAN",
        "first_name": "KARIN",
        "middle_name": "DAWN",
        "credential": "BA  AND B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 5, 2015; 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.