NPIMap

Individual provider Active NPI

Orlando Gillam II

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1962836676
Registry record updated Aug 29, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Sep 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
510488527 Issued in CA
Practice address
4991 E McKinley Ave Ste 112
Fresno, CA 93727-1966
Phone
(559) 981-2143
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 510488527 CA Primary

Addresses

Primary practice location

4991 E McKinley Ave Ste 112
Fresno, CA 93727-1966

Mailing address

4991 E McKinley Ave Ste 112
Fresno, CA 93727-1966
Phone (559) 981-2143

Other identifiers 1

IdentifierTypeStateIssuer
1962637512OtherCAMEDI CAL

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Dunamis, Inc. Past Accepting new patients
Kermit Koontz Education Center Past Accepting new patients
Fort Miller Middle School Past Accepting new patients
Gaston Middle School Past Accepting new patients
Tehipite Middle School Past Accepting new patients
Big Picture High School Past Accepting new patients
Dunamis Inc. Addiction (Substance Use Disorder) Past Accepting new patients
Fresno High School Past Accepting new patients
Hoover High School Past Accepting new patients
Gateway High Schol Past Accepting new patients
Dunamis, Inc. Group Home Past Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1962836676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-981-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-981-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAM",
        "first_name": "ORLANDO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "510488527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "1962637512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.