The Good Neighbor Walk in Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

00A532060 Issued in CA

Legal business name

THE GOOD NEIGHBOR WALK IN CLINIC, INC

Practice address

4844 N 1St St
Suite 104
Fresno, CA 93726-0529

Phone

(559) 221-9088

Fax

(559) 221-9087

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Than A Aw, M.D.

Title

Medical Director

Phone

(559) 221-9088

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• good neighbor medical clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Chaeeun Alexanderson-Lee, PH.D., R.D.

  • Metabolic Nutrition Registered Dietitian
  • Fresno, CA
  • NPI 1891064432
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1669679189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 N 1ST ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260529",
            "telephone_number": "559-221-9088",
            "fax_number": "559-221-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 N 1ST ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260529",
            "telephone_number": "559-221-9088",
            "fax_number": "559-221-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD NEIGHBOR WALK IN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "AW",
        "authorized_official_first_name": "THAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-221-9088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "A53206",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A53206",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "00A532060",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "RN505630-NP8370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0083700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A532060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "good neighbor medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Fresno Center
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• The Infusion Center, Inc.
• The Lasik Vision Institute
• The Lead Institute, Inc.
• The Living Centers of Fresno, Inc.
• The Medical Partners Group, Inc.

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.