Individual provider Active NPI

Jessica G Nunez

  • Student in an Organized Health Care Education/Training Program
  • Fresno, CA
National Provider Identifier
1467900464
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone
(559) 443-4800
Fax
(559) 233-1080
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2440 Tulare St Ste 200
Fresno, CA 93721-2281

Mailing address

2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (559) 443-4800

Other practice location 1

4545 N West Ave
Fresno, CA 93705-0946
Phone (559) 229-3561 ext. 154

Other practice location 2

2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Phone (559) 443-4800

Other practice location 3

2020 High St Ste E
Selma, CA 93662-3518
Phone (559) 443-4800

Other practice location 4

121 Belmont Ave
Mendota, CA 93640-8232
Phone (559) 443-4800

Other practice location 5

2280 N Valentine Ave
Fresno, CA 93722-5553
Phone (559) 443-4800

Other practice location 6

4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 443-4800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools PastSince Jan 31, 2021 Accepting new patients
Fresno County Superintendent of Schools PastSince Apr 1, 2024 Accepting new patients
Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap Past Accepting new patients
Comprehensive Youth Services of Fresno, Inc. Past Accepting new patients
Fresno County Superintendent of Schools PastSince May 17, 2020 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1467900464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 TULARE ST STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212281",
            "telephone_number": "559-443-4800",
            "fax_number": "559-233-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TULARE ST STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212281",
            "telephone_number": "559-443-4800",
            "fax_number": "559-233-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 N West Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937050946",
            "country_code": "US",
            "telephone_number": "559-229-3561 x154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 W Shaw Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112777",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 High St Ste E",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936623518",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408232",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 N Valentine Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225553",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "fax_number": "559-233-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4939 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271523",
            "country_code": "US",
            "telephone_number": "559-443-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JESSICA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "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 Aug 2, 2021; 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.