Active NPI
Nicole Sharise Magano
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1467645549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3333 N Bond Ave
Fresno, CA 93726-5712 - Phone
- (559) 229-3529
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3333 N Bond Ave
Fresno, CA 93726-5712
Mailing address
2409 Merced St
Suite 106
Fresno, CA 93721-1810
Phone (559) 981-2795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10107600 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1467645549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 MERCED ST",
"address_2": "SUITE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211810",
"telephone_number": "559-981-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N BOND AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937265712",
"telephone_number": "559-229-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANO",
"first_name": "NICOLE",
"middle_name": "SHARISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "10107600",
"state": "CA"
}
],
"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 Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.