1689933913 NPI number — TURNING POINT OF CENTRAL CALIFORNIA, INC.

Table of content: (NPI 1689933913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689933913 NPI number — TURNING POINT OF CENTRAL CALIFORNIA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNING POINT OF CENTRAL CALIFORNIA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TURNING POINT AB-109 FSP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689933913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3636 N 1ST ST
Provider Second Line Business Mailing Address:
162
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93726-6800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-476-2166
Provider Business Mailing Address Fax Number:
559-348-5152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3636 N 1ST ST
Provider Second Line Business Practice Location Address:
SUITE 112, 124, 162
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93726-6800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-476-2166
Provider Business Practice Location Address Fax Number:
559-348-5152
Provider Enumeration Date:
05/07/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ROSS
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
559-732-8086

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10D5 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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