Active NPI
Neighborhood Walk in Clinic
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1467792176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEIGHBORHOOD WALK IN CLINIC
- Practice address
- 4182 N 1St St Ste 105
Fresno, CA 93726-4300 - Phone
- (559) 224-3300
- Fax
- (559) 224-3306
- NPI assigned
- Feb 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Camille Munganga, N.P.
- Title
- Administrator
- Phone
- (714) 458-0207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4182 N 1St St Ste 105
Fresno, CA 93726-4300
Mailing address
4182 N 1St St Ste 105
Fresno, CA 93726-4300
Phone (559) 224-3300
National Provider Directory
National Provider DirectoryLocations
4182 N 1st St
Ste 102
Fresno, CA 93726
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Fresno, CA
- NPI 1376685685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1467792176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4182 N 1ST ST STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264300",
"telephone_number": "559-224-3300",
"fax_number": "559-224-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4182 N 1ST ST STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264300",
"telephone_number": "559-224-3300",
"fax_number": "559-224-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD WALK IN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-18",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "MUNGANGA",
"authorized_official_first_name": "CAMILLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-458-0207",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"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 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.