Jose Emiliano Sias
Individual provider Active NPI Substance Abuse Rehabilitation Facility · Lemoore, CA
NPI 1346073343 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1346073343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Practice address
- 11517 15TH Ave
Lemoore, CA 93245-9508 - Phone
- (559) 380-0800
- NPI assigned
- Aug 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champions Recovery Alternative Programs, Inc. | Substance Abuse Rehabilitation Facility | Current |
Accepting new patients |
Locations
311 N Douty St
Hanford, CA 93230
Phone (559) 582-9323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
11517 15TH Ave
Lemoore, CA 93245-9508
Mailing address
311 N Douty St
Hanford, CA 93230-3951
Phone (559) 583-9300
Other providers in Lemoore, CA
- Manuela Sharber
- Ronald Robert Sheldon
- Taylor Rudolph Sheppard
- Shahram Shidmand
- Shuttle Comfort LLC
- Leah Dawn Silva
- Matthew Simas
- Ikwinder K. Singh
- Retta M Siregar
- Dennis Colby Smith
All providers in Lemoore, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.