Active NPI
Esteban Ceballos
- Counselor
- Fresno, CA
National Provider Identifier
1538616545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4205 W Figarden Dr
Fresno, CA 93722-6051 - Phone
- (559) 221-1680
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4205 W Figarden Dr
Fresno, CA 93722-6051
Mailing address
4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 221-1680
Other practice location 1
7485 N Palm Ave
Fresno, CA 93711-5764
Phone (559) 221-8100
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": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1538616545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 W FIGARDEN DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226051",
"telephone_number": "559-221-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 W FIGARDEN DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226051",
"telephone_number": "559-221-1680"
}
],
"practiceLocations": [
{
"address_1": "7485 N Palm Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937115764",
"country_code": "US",
"telephone_number": "559-221-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEBALLOS",
"first_name": "ESTEBAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Cba Medical Incorporation (Sleep Rx of California)
- CC Wound Care and Consultant, Inc.
- Gabriela Palomo Cearbaugh, LMFT
- Juanita Ceballos Saavedra
- Destini Ceballos
- Isaac Ceballos
- Reagan Alexander Ceccarelli
- Amy Michelle Cecil, LVN
- Cedar Drugs
- Cedar Pharmacy & Medical Supplies Inc (cedar pharmacy and medical supplies inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.