Individual provider Active NPI

Rohina Fazil

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1881733053
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29287 Issued in CA
Practice address
3451 W Shaw Ave
Fresno, CA 93711-3242
Phone
(559) 492-8327
NPI assigned
Feb 5, 2007
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29287 CA Primary

Addresses

Primary practice location

3451 W Shaw Ave
Fresno, CA 93711-3242

Mailing address

369 16TH St
Kerman, CA 93630-1997
Phone (254) 648-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29287CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Omid Counseling Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

3451 W Shaw Ave
Fresno, CA 93711
Phone (559) 202-3423

3451 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 202-3423

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1881733053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 16TH ST",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301997",
            "telephone_number": "254-648-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113242",
            "telephone_number": "559-492-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIL",
        "first_name": "ROHINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29287",
            "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 Jul 30, 2024; 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.