Active NPI
Primer Paso Institute Inc
- Substance Abuse Rehabilitation Facility
- Visalia, CA
National Provider Identifier
1700089554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 545402 | Medicaid | CA |
Other names 1
- Angela's House
National Provider Directory
National Provider Directory- Tax ID family
- Primer Paso Institute Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Fresno, CA
- NPI 1902093180
-
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
- NPI 1316080609
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
- NPI 1134339542
-
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
- NPI 1386855229
-
- Addiction (Substance Use Disorder) Counselor
- Visalia, CA
- NPI 1598966632
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.