NPIMap

Organization Active NPI

Fresno Cournty West County Regional Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madera, CA
National Provider Identifier
1245379247
Registry record updated Aug 22, 2020
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
FRESNO COURNTY WEST COUNTY REGIONAL MENTAL HEALTH CLINIC
Practice address
275 S Madera Ave
Suite 103
Madera, CA 93630
Phone
(559) 846-7500
Fax
(559) 846-5892
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Giang T Nguyen
Title
Director, Fresno Co Mental Health
Phone
(559) 253-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

275 S Madera Ave
Suite 103
Madera, CA 93630

Mailing address

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 253-9180

Other identifiers 1

IdentifierTypeStateIssuer
2323OtherCOST CENTER

National Provider Directory

National Provider Directory
Tax ID family
Sierra Foothills HLTH C115 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

275 S Madera Ave
Ste 103
Kerman, CA 93630
Phone (559) 846-7500

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245379247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-253-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MADERA AVE",
            "address_2": "SUITE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93630",
            "telephone_number": "559-846-7500",
            "fax_number": "559-846-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COURNTY WEST COUNTY REGIONAL MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GIANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR, FRESNO CO MENTAL HEALTH",
        "authorized_official_telephone_number": "559-253-9180"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.