NPIMap

Organization Active NPI

A New Awakening of the San Joaquin

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1629699327
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
A NEW AWAKENING OF THE SAN JOAQUIN
Practice address
1121 S Dee Ann Ave
Fresno, CA 93727-0847
Phone
(559) 579-0935
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Juan Campos
Title
Operations Director
Phone
(559) 721-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1121 S Dee Ann Ave
Fresno, CA 93727-0847

Mailing address

4576 E Shields Ave
Fresno, CA 93726-7220
Phone (559) 258-0249

National Provider Directory

National Provider Directory
Tax ID family
A New Awakening of the San Joaquin2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1629699327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "559-258-0249",
            "fax_number": "559-258-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S DEE ANN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937270847",
            "telephone_number": "559-579-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW AWAKENING OF THE SAN JOAQUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "559-721-9279"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 22, 2025; 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.