Active NPI
Premier Valley Healthcare
- Community/Behavioral Health Agency
- Fresno, CA
National Provider Identifier
1285371237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PREMIER VALLEY HEALTHCARE
- Practice address
- 4491 W Shaw Ave Ste 102
Fresno, CA 93722-6232 - Phone
- (559) 779-8000
- NPI assigned
- May 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasneem A Chaudhry
- Title
- Ceo
- Phone
- (559) 779-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
4491 W Shaw Ave Ste 102
Fresno, CA 93722-6232
Mailing address
4650 N Palm Ave
Fresno, CA 93704-3035
Phone (559) 779-8000
National Provider Directory
National Provider DirectoryLocations
4491 W Shaw Ave
Ste 102
Fresno, CA 93722
Phone (559) 779-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1285371237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937043035",
"telephone_number": "559-779-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4491 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226232",
"telephone_number": "559-779-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER VALLEY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-19",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "TASNEEM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-779-8000"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"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 Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.