Individual provider Active NPI

Alexis Ambrosia Scudder

  • Community Health Worker
  • Fresno, CA
National Provider Identifier
1275266272
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519
Phone
(559) 271-3096
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519

Mailing address

4667 N Lorna Ave
Fresno, CA 93705-1128
Phone (559) 981-4632

Other practice location 1

225 S. Academy Ave.
Sanger, CA 93657
Phone (855) 343-1057

Other practice location 2

258 N Blackstone Ave
Fresno, CA 93701-1913
Phone (559) 274-0299

Other practice location 3

3855 N West Ave Ste And110
Fresno, CA 93705-2759
Phone (559) 274-0299

Other practice location 4

36618 Lassen Ave.
Suite A
Huron, CA 93234
Phone (855) 343-1057

Other practice location 5

275 S Madera Ave Ste 404
Kerman, CA 93630-1401
Phone (855) 343-1057

Other practice location 6

380/386 Coalinga Plaza
Coalinga, CA 93210-1703
Phone (855) 343-1057

Other practice location 7

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 476-2166

Other practice location 8

1311 11th St
Reedley, CA 93654-2926
Phone (855) 343-1057

Other practice location 9

34, 36, & 40 E. Minarets Ave
Pinedale, CA 93650-1239
Phone (855) 343-1057

Other practice location 10

121 Belmont Ave
Mendota, CA 93640-8232
Phone (855) 343-1057

Other practice location 11

3400 MCCall Ave
Selma, CA 93662
Phone (855) 343-1057

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

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point of Central California, Inc. Past Accepting new patients
Kenvelo2 Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1275266272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 N LORNA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051128",
            "telephone_number": "559-981-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 W SHAW AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113519",
            "telephone_number": "559-271-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S. Academy Ave.",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "93657",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011913",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 N West Ave Ste And110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937052759",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36618 Lassen Ave.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 S Madera Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Kerman",
            "state": "CA",
            "postal_code": "936301401",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380/386 Coalinga Plaza",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932101703",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-476-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34, 36, & 40 E. Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408232",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 MCCall Ave",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "93662",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUDDER",
        "first_name": "ALEXIS",
        "middle_name": "AMBROSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-06-20",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "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 Jun 20, 2023; 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.