1942427497 NPI number — TURNING POINT OF CENTRAL CALIFORNIA, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942427497 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:
Provider Other Organization Name Type Code:
6
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:
1942427497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
220 N LOCUST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VISALIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93291-4946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-627-1385
Provider Business Mailing Address Fax Number:
559-636-2105

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31411 ROAD 160
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93292-9019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-627-1385
Provider Business Practice Location Address Fax Number:
559-636-2105
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOLLANDER
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
559-732-8086

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  540007BN , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5478 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 540005BN . This is a "AOD CERTIFICATION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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