| NPI | 1265521488 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-12 |
| Last Updated | 2024-04-29 |
| Authorized Official | Bla Mouanoutoua CEO Phone: 5592556476 |
| Mailing Address | 4929 E Kings Canyon Rd Fresno, CA 93727-3812 United States Phone: (559) 255-6476 | Fax: (559) 255-7906 📍 View Map |
| Primary Practice Address | 4929 E Kings Canyon Rd Fresno, CA 93727-3812 United States Phone: (559) 255-6476 | Fax: (559) 255-7906 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | FHC70517F | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 302F00000X – Exclusive Provider Organization | CA | 04000036 |
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About NPI 1265521488
Greater Fresno Health Organization, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1265521488. The primary specialty listed is Exclusive Provider Organization. The organization is located in Fresno, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265521488?
NPI 1265521488 belongs to Greater Fresno Health Organization, Inc., a Exclusive Provider Organization in Fresno, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265521488 active?
The current status of NPI 1265521488 in the NPPES registry is Active. The record was last updated on 2024-04-29.
What specialty is NPI 1265521488?
NPI 1265521488 is classified under the taxonomy Exclusive Provider Organization. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265521488?
You can verify NPI 1265521488 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265521488?
The primary practice address on file for NPI 1265521488 is 4929 E Kings Canyon Rd, Fresno, CA 93727-3812. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265521488 issued?
NPI 1265521488 was first issued (enumerated) on 2006-10-12. The NPPES record was last updated on 2024-04-29.
Practice Location Map
Greater Fresno Health Organization, Inc. is located at 4929 E Kings Canyon Rd, Fresno, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Greater Fresno Health Organization, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265521488. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Exclusive Provider Organization | 04000036 | CA |