SEQUOIA COMMUNITY HEALTH FOUNDATION, INC. (NPI# 1124070552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124070552 |
| Entity Type | Organization |
| Organization Name | SEQUOIA COMMUNITY HEALTH FOUNDATION, INC. |
| Practice Address |
302 Fresno St Suite 102 Fresno CA 93706-3600 |
| Mailing Address |
1945 N Fine Ave Fresno CA 93727-1528 |
| Practice Telephone | 5594575700 |
| Practice Fax Number | 5594575790 |
| Mailing Telephone | 5594575283 |
| Mailing Fax Number | 5594575892 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DR. JOHN L. MAFFEO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5594877806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
040000549 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70996F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496671 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2006-05-20 |
| 1770535825 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 2021 Divisadero St, Fresno, CA 93701-2013 | 2006-05-17 |
| 1760434831 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 2505 Divisadero St, Suite 100, Fresno, CA 93721-1401 | 2006-05-17 |
| 1629020789 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2006-05-17 |
| Street Address |
302 FRESNO ST SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023472743 | Kevin Dipondo Ouma | Internal Medicine | 302 Fresno St, Fresno, CA 93706-3600 | 2016-04-08 |
| 1700246865 | Affirm Medical Group, Inc | Clinic/Center | 302 Fresno St, Suite 105, Fresno, CA 93706-3600 | 2016-03-02 |
| 1891116414 | West Fresno Foot Clinic Inc | Podiatrist | 302 Fresno St, 105, Fresno, CA 93706-3600 | 2013-12-27 |
| 1497183560 | Angela Brown | Nurse Practitioner | 302 Fresno St, Suite 105, Fresno, CA 93706-3600 | 2013-10-28 |
| 1811225386 | Prabhdeep Kaur Gill | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706 | 2009-11-22 |
| 1194978973 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Ste(s) 101, 103, 200 & 204, Fresno, CA 93706-3600 | 2008-10-24 |
| 1275786063 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Suite #101, #103, #200, #204, Fresno, CA 93706-3600 | 2008-10-24 |
| 1326297904 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Ste 101, 103, 200, 204, Fresno, CA 93706-3600 | 2008-09-18 |
| 1689834517 | Evelen Soliman | Obstetrics & Gynecology | 302 Fresno St, Ste # 201, Fresno, CA 93706-3600 | 2008-06-13 |
| 1386839538 | Nadereh H Ebrahimi | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706-3600 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129112 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1901 E Shields Ave Ste 103, Fresno, CA 93726-5313 | 2020-06-23 |
| 1891319562 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2610 Tuolumne St Bldg B, Fresno, CA 93721-1227 | 2020-05-29 |
| 1457974206 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2630 Tuolumne St Bldg A, Fresno, CA 93721-1227 | 2020-05-27 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1053969642 | Clinca Sierra Vista | Clinic/Center | 1510 N Lafayette Ave, Fresno, CA 93728-1123 | 2019-08-28 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1972908333 | Clinca Sierra Vista | Clinic/Center | 4498 N Brawley Ave, Fresno, CA 93722-3917 | 2014-10-28 |
| 1790100402 | Clinca Sierra Vista | Clinic/Center | 1120 East Church Ave, Fresno, CA 93706 | 2014-03-04 |
| 1033486048 | Clinica Sierra Vista | Clinic/Center | 3645 W Shaw Ave Ste 101, Fresno, CA 93711-3206 | 2011-11-18 |
| 1609026285 | Clinica Sierra Vista | Clinic/Center | 3727 N 1st St Ste 106, Fresno, CA 93726-5628 | 2008-09-19 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.