Organization Active NPI

Sequoia Community Health Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1770535825
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.
Practice address
2021 Divisadero St
Fresno, CA 93701-2013
Phone
(559) 457-5900
Fax
(559) 457-5992
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 CA Primary

Addresses

Primary practice location

2021 Divisadero St
Fresno, CA 93701-2013

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
FHC70495FMedicaidCA

National Provider Directory

National Provider Directory

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": "1201564800000",
    "number": "1770535825",
    "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": "559-457-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012013",
            "telephone_number": "559-457-5900",
            "fax_number": "559-457-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-29",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70495F",
            "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 Jan 29, 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.