Total Life Change Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TOTAL LIFE CHANGE INC

Practice address

1300 E Shaw Ave Ste 121
Fresno, CA 93710-7903

Phone

(559) 479-9779

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tod Harris

Title

Program Director

Phone

(559) 479-9779

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Wilson, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1184647091
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1659973055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 121",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-479-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 121",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-479-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFE CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "559-479-9779"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Josefina Toscano
• Lindsey Michel Tosi
• Leslie Tostado
• Michael John Toste, PPS
• Total Care Medical Group Inc
• Total Renal Care Inc (Fresno at Home Center)
• Total Renal Care Inc (Ash Tree Dialysis)
• Total Renal Care Inc (Ash Tree PD)
• Touchstone Family Development Center Inc
• Touchstone Recovery Center, Inc.

• Community/Behavioral Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.