FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (NPI# 1518116102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518116102 |
| Entity Type | Organization |
| Organization Name | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
| Practice Address |
3003 N Mariposa St Fresno CA 93703-1127 |
| Mailing Address |
2823 Fresno St Fresno CA 93721-1324 |
| Practice Telephone | 5594591711 |
| Practice Fax Number | 5594591799 |
| Mailing Telephone | 5594591711 |
| Mailing Fax Number | 5594591799 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MR. CRAIG STANLEY CASTRO (CEO) |
| Authorized Official Telephone | 5593244884 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 040000096 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC70040F | 05 |
| Other Name | Type Code |
|---|---|
| Community Subacute and Transitional Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588745137 | Fresno Community Hospital and Medical Center | Home Health | 1630 E Shaw, Suite 154, Fresno, CA 93710-8109 | 2006-10-18 |
| 1295816569 | Fresno Community Hospital and Medical Center | Skilled Nursing Facility | 3003 N Mariposa St, Fresno, CA 93703-1127 | 2006-10-17 |
| 1497836613 | Fresno Community Hospital and Medical Center | Clinic/Center | 501 N. Medical Center Drive East, Suite 1100, Clovis, CA 93611 | 2006-10-17 |
| 1649238692 | Fresno Community Hospital and Medical Center | Clinic/Center | 1925 E Dakota Ave, Fresno, CA 93726-4821 | 2006-05-01 |
| 1851835417 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-12-15 |
| 1245653963 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2014-01-31 |
| 1932475589 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| 1104192756 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2012-03-28 |
| 1922374578 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2012-03-28 |
| 1962778514 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| Street Address |
3003 N MARIPOSA ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816569 | Fresno Community Hospital and Medical Center | Skilled Nursing Facility | 3003 N Mariposa St, Fresno, CA 93703-1127 | 2006-10-17 |
| 1679880173 | Nicholes Dunkley | Occupational Therapist | 3003 N Mariposa St, Fresno, CA 93703-1127 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308850 | Acme Care, Inc | Skilled Nursing Facility | 6253 N Colonial Ave, Fresno, CA 93704-1437 | 2019-10-18 |
| 1245779305 | Senior Med Care Living Inc | Skilled Nursing Facility | 2275 N Saratoga Ave, Fresno, CA 93722-4696 | 2017-02-21 |
| 1952766693 | Fresno Postacute Care LLC | Skilled Nursing Facility | 1233 A St., Fresno, CA 93706-3202 | 2015-12-23 |
| 1548625718 | Northern California Congregate Living, Inc | Skilled Nursing Facility | 5321 W Roberts Ave, Fresno, CA 93722-7737 | 2015-12-15 |
| 1306213517 | Babujyan Healthcare, Inc. | Skilled Nursing Facility | 1419 W Bullard Ave, Fresno, CA 93711-2324 | 2015-08-24 |
| 1346623378 | Mehdi Hakimipour Md, Inc. | Skilled Nursing Facility | 315 E Nees Ave, #124, Fresno, CA 93720-2062 | 2015-07-08 |
| 1720499908 | Affinity Congregate Living, Inc | Skilled Nursing Facility | 3150 E Shields Ave, Fresno, CA 93726-6901 | 2014-05-10 |
| 1134480817 | Humangood Fresno | Skilled Nursing Facility | 5551 N Fresno St, Fresno, CA 93710 | 2012-05-30 |
| 1528100013 | Covenant Care California, LLC | Skilled Nursing Facility | 577 South Peach Avenue, Fresno, CA 93727-3952 | 2007-02-13 |
| 1336287077 | Manning Gardens Care Center Inc | Skilled Nursing Facility | 2113 E Manning Ave, Fresno, CA 93725-9681 | 2007-02-02 |
| 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.