1861619314 NPI number — TURNING POINT OF CENTRAL CALIFORNIA, INC.

Table of content: (NPI 1861619314)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861619314 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:
1861619314
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
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:
14871 ROAD 192
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93257-9305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-741-8162
Provider Business Practice Location Address Fax Number:
559-636-2105
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FLY
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEGE EXECUTIVE 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: 540007BN . This is a "ADP CERTIFICATION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 5478 . This is a "DRUG MEDI-CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com