NPIMap

Organization Active NPI

California State University Fresno Foundation

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1295171007
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-12-12031 Issued in CA
Legal business name
CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
Practice address
5048 N Jackson Ave M S Ls138
Fresno, CA 93740-0001
Phone
(559) 278-6773
NPI assigned
May 20, 2013
Organization subpart
Yes
Parent organization
CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. Amanda Adams, PH.D.
Title
Executive Director
Phone
(559) 278-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-12-12031 CA Primary

Addresses

Primary practice location

5048 N Jackson Ave M S Ls138
Fresno, CA 93740-0001

Mailing address

5048 N Jackson Ave M S Ls138
Fresno, CA 93740-0001
Phone (559) 278-6773

Other names 1

  • Central California Autism Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
California State University Fresno Foundation2 organizations share this tax ID, including this one
Part of
California State University Fresno Foundation

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1295171007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 N JACKSON AVE M S LS138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 N JACKSON AVE M S LS138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-278-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-12-12031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central California Autism Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 20, 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.