1033556774 NPI number — TURNING POINT OF CENTRAL CALIFORNIA, INC.

Table of content: (NPI 1033556774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033556774 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:
1033556774
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7447
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:
93290-7447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-732-8086
Provider Business Mailing Address Fax Number:
844-364-4599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
275 S MADERA AVE
Provider Second Line Business Practice Location Address:
SUITE 302, 403 & 404
Provider Business Practice Location Address City Name:
KERMAN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93630-1403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-436-0482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2013

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




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