GENESIS FAMILY CENTER (NPI# 1790956654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790956654 |
| Entity Type | Organization |
| Organization Name | GENESIS FAMILY CENTER |
| Practice Address |
83 E Shaw Ave Ste 100 Fresno CA 93710-7616 |
| 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 | 251K00000X | Public Health or Welfare | 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 |
| 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 |
| 1679744452 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-19 |
| Street Address |
83 E SHAW AVE STE 100 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972746139 | Jean Norman | Behavioral Analyst | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2009-04-16 |
| 1326281585 | Cecilia Eggers | Behavioral Analyst | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2009-04-16 |
| 1235372491 | Cathy Vang | Behavioral Analyst | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2009-04-16 |
| 1295987121 | Maria Magdalena Mendiola | Marriage & Family Therapist | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-10-22 |
| 1659547610 | William Ray Green IIi | Counselor | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-04-30 |
| 1194999565 | Griselda Soledad Carrillo | Counselor | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-04-16 |
| 1376716241 | Lisa Kerr Weigant | Counselor | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-04-10 |
| 1689847618 | Kimberli Law | Counselor | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-04-10 |
| 1679744536 | Genesis Family Center | Community/Behavioral Health | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
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| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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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.