NPIMap

Organization Active NPI

County of Fresno

  • Rehabilitation Clinic/Center
  • Fresno, CA
National Provider Identifier
1417047432
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COUNTY OF FRESNO
Practice address
5250 E Church Ave
Fresno, CA 93725-0900
Phone
(559) 253-6531
Fax
(559) 253-0255
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mr. David Pomaville, M.B.A., R.E.H.S.
Title
Director
Phone
(559) 600-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5250 E Church Ave
Fresno, CA 93725-0900

Mailing address

PO Box 11867
CMS-Storey, 2ND Floor
Fresno, CA 93775-1867
Phone (559) 600-3300

Other identifiers 1

IdentifierTypeStateIssuer
CCS00091FOtherCAMEDI-CAL

Other names 1

  • Department of Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Foothills HLTH C115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5250 E Church Ave
Fresno, CA 93725
Phone (559) 253-6530

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1417047432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11867",
            "address_2": "CMS-STOREY, 2ND FLOOR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937751867",
            "telephone_number": "559-600-3300",
            "fax_number": "559-600-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 E CHURCH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937250900",
            "telephone_number": "559-253-6531",
            "fax_number": "559-253-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "POMAVILLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-600-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A., R.E.H.S."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "CCS00091F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2014; 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.