MS. ROSALINDA PORTILLO (NPI# 1407107618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407107618 |
| Entity Type | Individual |
| Full Name | MS. ROSALINDA PORTILLO |
| Practice Address |
4705 N Sonora Ave Ste 113 Fresno CA 93722-3965 |
| Practice Telephone | 5592767558 |
| Mailing Telephone | 5592767558 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
B5872192 | CA | Behavioral Health & Social Service Providers |
| N | 171R00000X | Interpreter | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DMV | B5872192 | 01 |
| Street Address |
4705 N SONORA AVE STE 113 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-3965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674632 | Nicholas J Orme | General Practice | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2005-07-29 |
| 1548860273 | Laura Michelle Stone | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2020-10-30 |
| 1326677139 | Tammy Lynne Lorenzo | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2020-04-03 |
| 1770069254 | Chukwuma Christopher Enunwa I | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2018-07-17 |
| 1972036788 | Joy Darlene Troyn | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2017-04-07 |
| 1558714204 | George Tapia | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2016-07-18 |
| 1568847457 | Zenaida Machuka | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2015-07-21 |
| 1639552839 | Felix Shielim Enunwa | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2015-07-07 |
| 1336543594 | Martha Leanos | Counselor | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2014-10-17 |
| 1528462884 | Latoya Lewis | Specialist | 4705 N Sonora Ave Ste 113, Fresno, CA 93722-3965 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 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 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| 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.