NPIMap

Organization Active NPI

Sequoia Community Health Foundation, Inc

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1912034372
Registry record updated Jan 17, 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
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
John L Maffeo, MD
Title
Ceo
Phone
(559) 457-5239

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 Ste 116
Fresno, CA 93727-1528
Phone (559) 457-5800

Other identifiers 1

IdentifierTypeStateIssuer
BCP70495FMedicaidCA

Other names 1

  • SEQUOIA COMMUNITY HEALTH CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sequoia Community Health Centers21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1912034372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5800",
            "fax_number": "559-457-5891"
        },
        {
            "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": "2007-02-27",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "MAFFEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-457-5239",
        "authorized_official_credential": "MD"
    },
    "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": "BCP70495F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEQUOIA COMMUNITY HEALTH CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 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.