Guadalupe Melgoza
Individual provider Active NPI Counselor · Fowler, CA
NPI 1770975401 · NPPES record last updated Mar 4, 2015
Key facts
- NPI
- 1770975401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 311 E Merced St
Fowler, CA 93625-2316 - Phone
- (559) 892-9452
- NPI assigned
- Mar 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prodigy Healthcare Inc. | Past | Accepting new patients | |
| Prodigy Healthcare Non Profit | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
311 E Merced St
Fowler, CA 93625-2316
Mailing address
6291 N Katy LN
Fresno, CA 93722-7909
Phone (559) 577-0243
Other providers in Fowler, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.