Active NPI
Darrian L Alcorn Jr.
- Rehabilitation Practitioner
- Fresno, CA
National Provider Identifier
1659970895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2142 N Blythe Ave
Fresno, CA 93722-5402 - Phone
- (559) 277-3494
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Behavior Technician | 106S00000X | RBT-20-113913 | NC | |
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
2142 N Blythe Ave
Fresno, CA 93722-5402
Mailing address
3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229
Phone (559) 558-4051
Other practice location 1
7171 W Rialto Ave
Fresno, CA 93723-9407
Phone (559) 277-3494
Other practice location 2
3793 N Polk Ave
Fresno, CA 93722-9763
Phone (559) 277-3494
Other practice location 3
114 S Brawley Ave
Fresno, CA 93706-2103
Phone (559) 277-3494
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-113913 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1659970895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-558-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N BLYTHE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937225402",
"telephone_number": "559-277-3494"
}
],
"practiceLocations": [
{
"address_1": "7171 W Rialto Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937239407",
"country_code": "US",
"telephone_number": "559-277-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3793 N Polk Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937229763",
"country_code": "US",
"telephone_number": "559-277-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 S Brawley Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937062103",
"country_code": "US",
"telephone_number": "559-277-3494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALCORN",
"first_name": "DARRIAN",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-20-113913",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"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 Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.