Active NPI
Brooke Fimbrez
- Community Health Worker
- Fresno, CA
National Provider Identifier
1942991120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4468 E Kings Canyon Rd BLDG 340
Fresno, CA 93702-3605 - Phone
- (559) 600-6076
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
4468 E Kings Canyon Rd BLDG 340
Fresno, CA 93702-3605
Mailing address
347 W Herndon Ave
Fresno, CA 93650-1385
Phone (559) 273-3178
Other practice location 1
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180
Other practice location 2
4417 E Inyo St Bldg 333
Fresno, CA 93702-2977
Phone (559) 600-9180
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1942991120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 W HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "936501385",
"telephone_number": "559-273-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4468 E KINGS CANYON RD BLDG 340",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023605",
"telephone_number": "559-600-6076"
}
],
"practiceLocations": [
{
"address_1": "4441 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-600-9180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4417 E Inyo St Bldg 333",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937022977",
"country_code": "US",
"telephone_number": "559-600-9180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIMBREZ",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.