Westcare California Inc
Organization Active NPI Community/Behavioral Health Agency · Fresno, CA
NPI 1407996002 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1407996002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- WESTCARE CALIFORNIA INC
- Practice address
- 611 E Belmont Ave
Fresno, CA 93701-1502 - Phone
- (559) 251-8400
- Fax
- (559) 453-6969
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Shawn A Jenkins
- Title
- Coo
- Phone
- (702) 385-2090
Other NPIs on the same Medicare enrollment 2
Practitioners 7
-
Joanne K Groves, MFT INTERN
-
Lee Andre Heu, D.C.
-
Louisa Garza Maduro, ASW
-
Dayla Patrice Patterson, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240515000451 | CA | Part B Supplier - Clinic/Group Practice | 7214378769 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fresno, CA |
National Provider Directory
Locations
3636 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 221-8180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 100010IN | CA |
Addresses
Primary practice location
611 E Belmont Ave
Fresno, CA 93701-1502
Mailing address
1900 N Gateway Blvd
Fresno, CA 93727-1622
Phone (559) 251-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079 | Other | CA | DRUG MEDI-CAL |
Other providers in Fresno, CA
- Westcare
- Westcare
- Westcare California
- Westcare California
- Westcare California
- Westcare California Inc
- Westcare California Inc.
- Westcare California, Inc
- Westcare California, Inc
- Westcare California, Inc
All providers in Fresno, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.