Organization Active NPI

Delta Care, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1659622371
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100082AN Issued in CA
Legal business name
DELTA CARE, INC.
Practice address
4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Phone
(559) 276-7558
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Ms. Minerva Minnie Mijangos
Title
Administrative Program Coordinator
Phone
(559) 276-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100082AN CA Primary

Addresses

Primary practice location

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965

Mailing address

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965
Phone (559) 276-7558

Other identifiers 1

IdentifierTypeStateIssuer
B5872192OtherCACA DMV

National Provider Directory

National Provider Directory

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": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1659622371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223965",
            "telephone_number": "559-276-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223965",
            "telephone_number": "559-276-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MIJANGOS",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "MINNIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "559-276-7558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100082AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DMV",
            "identifier": "B5872192",
            "state": "CA"
        }
    ],
    "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 20, 2012; 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.