GENESIS FAMILY CENTER (NPI# 1679744452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679744452 |
| Entity Type | Organization |
| Organization Name | GENESIS FAMILY CENTER |
| Practice Address |
2920 E Olive Ave Fresno CA 93701-1223 |
| Mailing Address |
7475 N Palm Ave Ste 107 Fresno CA 93711-5763 |
| Practice Telephone | 5594395437 |
| Practice Fax Number | 5594395411 |
| Mailing Telephone | 5594395437 |
| Mailing Fax Number | 5594395411 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | MS. CAROL DELA TORRE (DEPUTY ADMINISTRATOR) |
| Authorized Official Telephone | 5594395437 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487815510 | Genesis Family Center | Community/Behavioral Health | 37180 Jose Basin Rd, Auberry, CA 93602 | 2008-06-20 |
| 1902067051 | Genesis Family Center | Community/Behavioral Health | 4291 N Millbrook Ave, Fresno, CA 93726-3438 | 2008-06-20 |
| 1265603005 | Genesis Family Center | Community/Behavioral Health | 2910-2920 E Olive Ave, Fresno, CA 93701 | 2008-03-20 |
| 1790956654 | Genesis Family Center | Public Health or Welfare | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-03-19 |
| 1386815520 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-16 |
| 1578748158 | Genesis Family Center | Community/Behavioral Health | 1260 N Mariposa St, Fresno, CA 93703-3940 | 2008-01-02 |
| 1598921678 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1225294309 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1316103492 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1063675262 | Genesis Family Center | Community/Behavioral Health | 603 3rd St, Parlier, CA 93648-2028 | 2008-07-08 |
| Street Address |
2920 E OLIVE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386815520 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-16 |
| 1396916177 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1003413600 | Kings View Corporation | Community/Behavioral Health | 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 | 2020-10-06 |
| 1396360855 | North Star Wellness Center, Inc | Community/Behavioral Health | 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 | 2020-06-10 |
| 1710509377 | Mary Kay Buckley, Psychotherapist Inc | Community/Behavioral Health | 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 | 2020-05-17 |
| 1992345797 | Quality Group Homes, Inc. | Community/Behavioral Health | 643 E Sample Ave, Fresno, CA 93710-5428 | 2020-01-09 |
| 1790321412 | Majesty Holistic Health Services | Community/Behavioral Health | 2906 Valiant Elm St, Fresno, TX 77545-8160 | 2019-11-19 |
| 1508410341 | Fresno Youth Care Homes, Inc. | Community/Behavioral Health | 64 E Weldon Ave, Fresno, CA 93704-5956 | 2019-07-30 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1114431897 | My Time Recovery, LLC | Community/Behavioral Health | 1107 W Rialto Ave, Fresno, CA 93705-0918 | 2017-11-17 |
| 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.