NPIMap

Organization Active NPI

A New Awakening of the San Joaquin

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1427676535
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
A NEW AWAKENING OF THE SAN JOAQUIN
Practice address
4576 E Shields Ave
Fresno, CA 93726-7220
Phone
(559) 579-0935
NPI assigned
Jul 7, 2020
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
A NEW AWAKENING OF THE SAN JOAQUINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Juan J CamposNPI 1245164672
Title
Operations Director
Phone
(559) 721-9279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

4576 E Shields Ave
Fresno, CA 93726-7220

Mailing address

4576 E Shields Ave
Fresno, CA 93726-7220
Phone (559) 258-0249

National Provider Directory

National Provider Directory
Tax ID family
A New Awakening of the San Joaquin2 organizations share this tax ID, including this one
Part of
A New Awakening of the San Joaquin

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1427676535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "559-258-0249",
            "fax_number": "559-258-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "559-579-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW AWAKENING OF THE SAN JOAQUIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A NEW AWAKENING OF THE SAN JOAQUIN",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "559-721-9279"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 22, 2025; 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.