Organization Active NPI

Primer Paso Institute Inc

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
National Provider Identifier
1700089554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRIMER PASO INSTITUTE INC
Practice address
1300 S Crowe St
Visalia, CA 93277-2106
Phone
(559) 734-5480
Fax
(559) 734-5783
NPI assigned
Jun 8, 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
Mr. Ricardo Vasquez
Title
Ceo
Phone
(559) 734-6042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1300 S Crowe St
Visalia, CA 93277-2106

Mailing address

310 N Church St
Visalia, CA 93291-5009
Phone (559) 734-6042

Other identifiers 1

IdentifierTypeStateIssuer
545402MedicaidCA

Other names 1

  • Angela's House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Primer Paso Institute Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700089554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915009",
            "telephone_number": "559-734-6042",
            "fax_number": "559-635-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CROWE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772106",
            "telephone_number": "559-734-5480",
            "fax_number": "559-734-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMER PASO INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-734-6042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, 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.