Westcare California Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

100010FN Issued in CA

Legal business name

WESTCARE CALIFORNIA INC

Practice address

2772 Martin L King Jr Blvd
Fresno, CA 93706-5345

Phone

(559) 265-4800

Fax

(559) 265-4823

NPI assigned

Apr 12, 2007

Organization subpart

No

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Westcare California Inc

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1407996002

  O20240515000451

  Same enrollment
• Westcare California, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1124598305

  O20240515000451

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Authorized official

Name

Shawn Allen Jenkins

Title

Coo

Phone

(559) 251-4800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1982828166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937762107",
            "telephone_number": "559-251-4800",
            "fax_number": "559-453-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 MARTIN L KING JR BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065345",
            "telephone_number": "559-265-4800",
            "fax_number": "559-265-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCARE CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "559-251-4800"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "100010HN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100010FN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westcare
• Westcare California
• Westcare California
• Westcare California
• Westcare California Inc
• Westcare California Inc.
• Westcare California, Inc
• Westcare California, Inc
• Westcare California, Inc
• Westcare California, Inc

• All providers in Fresno, CA
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.