Organization Active NPI

Sequoia Community Health Foundation,Inc.

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1700084373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37697 Issued in CA
Legal business name
SEQUOIA COMMUNITY HEALTH FOUNDATION,INC.
Doing business as
Sequoia Community Health Centers
Practice address
302 Fresno St
Suite 204
Fresno, CA 93706-3600
Phone
(559) 457-5700
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Madrigal, DDS
Title
Chief Dental Officer
Phone
(559) 457-5271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 37697 CA Primary

Addresses

Primary practice location

302 Fresno St
Suite 204
Fresno, CA 93706-3600

Mailing address

1945 N Fine Ave
Suite 116
Fresno, CA 93727-1528
Phone (559) 457-5271

Other names 1

  • Sequoia Community Health Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sequoia Community Health Centers21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

302 Fresno St
Ste 204
Fresno, CA 93706
Phone (559) 457-5700

Practitioners & affiliated clinicians

Practitioners 2

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700084373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE",
            "address_2": "SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5271",
            "fax_number": "559-457-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST",
            "address_2": "SUITE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063600",
            "telephone_number": "559-457-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA COMMUNITY HEALTH FOUNDATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "559-457-5271",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.