Organization Active NPI

Central Valley Wellness Center

  • Adult Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1760940951
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CENTRAL VALLEY WELLNESS CENTER
Practice address
1478 W Shaw Ave
Fresno, CA 93711-3607
Phone
(559) 449-3419
Fax
(877) 396-3157
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Britiny Rose Dillard
Title
Office Manager
Phone
(559) 449-3419

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1478 W Shaw Ave
Fresno, CA 93711-3607

Mailing address

1478 W Shaw Ave
Fresno, CA 93711-3607
Phone (559) 449-3419

National Provider Directory

National Provider Directory

Locations

1478 W Shaw Ave
Fresno, CA 93711
Phone (559) 225-3222

Practitioners & affiliated clinicians

Practitioners 1

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1760940951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-449-3419",
            "fax_number": "877-396-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-449-3419",
            "fax_number": "877-396-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "BRITINY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-449-3419"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2019; 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.