Organization Active NPI

Neighborhood Walk in Clinic

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1467792176
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 25, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.