NPIMap

Organization Active NPI

King of Kings Community Center

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1801007802
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
100024BN Issued in CA
Legal business name
KING OF KINGS COMMUNITY CENTER
Practice address
2302 S Martin L King Jr Blvd
Fresno, CA 93706-4135
Phone
(559) 442-0400
Fax
(559) 442-0401
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mr. Robert Singleton, CAS INPI 1083992903
Title
Executive Director
Phone
(559) 442-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 100024BN CA
Substance Abuse Rehabilitation Facility 324500000X 100024BN CA Primary

Addresses

Primary practice location

2302 S Martin L King Jr Blvd
Fresno, CA 93706-4135

Mailing address

2302 S Martin L King Jr Blvd
Fresno, CA 93706-4135
Phone (559) 442-0400

National Provider Directory

National Provider Directory
Tax ID family
King of Kings Outpatient and Perinatal Services Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2302 S Martin L King Jr Blvd
Fresno, CA 93706
Phone (559) 268-9559

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1801007802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S MARTIN L KING JR BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064135",
            "telephone_number": "559-442-0400",
            "fax_number": "559-442-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S MARTIN L KING JR BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064135",
            "telephone_number": "559-442-0400",
            "fax_number": "559-442-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF KINGS COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-442-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS I"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "100024BN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100024BN",
            "primary": true
        }
    ],
    "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 Oct 12, 2016; 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.