Organization Active NPI

Delta Care Inc

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1467782102
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100082AN Issued in CA
Legal business name
DELTA CARE INC
Practice address
4705 N Sonora Ave
Suite 113
Fresno, CA 93722-3966
Phone
(559) 276-7558
Fax
(559) 276-7568
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Mrs. Rita Obiajulum Enunwa, MSN, FNP-C
Title
Executive Director
Phone
(559) 276-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100082AN CA Primary

Addresses

Primary practice location

4705 N Sonora Ave
Suite 113
Fresno, CA 93722-3966

Mailing address

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Phone (559) 276-7558

National Provider Directory

National Provider Directory
Tax ID family
Delta Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1467782102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223965",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE",
            "address_2": "SUITE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223966",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "ENUNWA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "OBIAJULUM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-276-7558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100082AN",
            "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 Jul 14, 2023; 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.