Central California Blood Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4466 Issued in CA

Legal business name

CENTRAL CALIFORNIA BLOOD CENTER

Practice address

3445 N 1St St
Fresno, CA 93726-6864

Phone

(559) 224-2900

Fax

(559) 225-1602

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Benell

Title

Cfo

Phone

(559) 224-2900

Specialties & licenses 1

Addresses

Other names 1

• CCBC Reference Lab Other name

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457573651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266864",
            "telephone_number": "559-224-2900",
            "fax_number": "559-225-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266864",
            "telephone_number": "559-224-2900",
            "fax_number": "559-225-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA BLOOD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-224-2900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCBC Reference Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.