Organization Active NPI

Sequoia Community Health Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1760434831
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
040000557 Issued in CA
Legal business name
SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.
Practice address
2505 Divisadero St
Suite 100
Fresno, CA 93721-1401
Phone
(559) 457-5500
Fax
(559) 457-5599
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. John L Maffeo, M.D.
Title
Chief Executive Officer
Phone
(559) 487-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 040000557 CA Primary

Addresses

Primary practice location

2505 Divisadero St
Suite 100
Fresno, CA 93721-1401

Mailing address

1945 N Fine Ave
Fresno, CA 93727-1528
Phone (559) 457-5283

Other identifiers 1

IdentifierTypeStateIssuer
FHC71069FMedicaidCA

National Provider Directory

National Provider Directory

Locations

2505 E Divisadero St
Ste 100
Fresno, CA 93721
Phone (559) 457-5500

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1760434831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5283",
            "fax_number": "559-457-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 DIVISADERO ST",
            "address_2": "SUITE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500",
            "fax_number": "559-457-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MAFFEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-487-7806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "040000557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71069F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2008; 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.