SEQUOIA COMMUNITY HEALTH FOUNDATION, INC (NPI# 1972630325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972630325 |
| Entity Type | Organization |
| Organization Name | SEQUOIA COMMUNITY HEALTH FOUNDATION, INC |
| Other Organization Name | SEQUOIA COMMUNITY HEALTH CENTERS |
| Practice Address |
2790 S Elm Ave Fresno CA 93706-5435 |
| Mailing Address |
1945 N Fine Ave Ste 116 Fresno CA 93727-1528 |
| Practice Telephone | 5594575200 |
| Practice Fax Number | 5594575291 |
| Mailing Telephone | 5594575800 |
| Mailing Fax Number | 5594575891 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | JOHN L MAFFEO (CEO) |
| Authorized Official Telephone | 5594575239 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCP70382F | 05 |
| Other Name | Type Code |
|---|---|
| SEQUOIA COMMUNITY HEALTH CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316113178 | Sequoia Community Health Foundation, Inc | Specialist | 3727 N First St, Suite 106, Fresno, CA 93726-5628 | 2008-05-01 |
| 1972794766 | Sequoia Community Health Foundation, Inc | Clinic/Center | 6011 N Fresno Str, Suite 115, Fresno, CA 93710-5274 | 2007-08-06 |
| 1003943473 | Sequoia Community Health Foundation, Inc | Clinic/Center | 302 Fresno St Ste 102, Fresno, CA 93706-3600 | 2007-02-27 |
| 1265697841 | Sequoia Community Health Foundation, Inc | Specialist | 3727 N 1st St, Suite 106, Fresno, CA 93726-5628 | 2008-07-23 |
| 1891950473 | Sequoia Community Health Foundation, Inc | Specialist | 3727 N 1st St, Suite 106, Fresno, CA 93726-5628 | 2008-07-23 |
| 1598892960 | Sequoia Community Health Foundation, Inc | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-02-27 |
| 1992832364 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2505 Divisadero St, Fresno, CA 93721-1401 | 2007-02-27 |
| 1912034380 | Sequoia Community Health Foundation, Inc | Clinic/Center | 302 Fresno St Ste 102, Fresno, CA 93706-3600 | 2007-02-27 |
| 1194852566 | Sequoia Community Health Foundation, Inc | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2007-02-27 |
| 1912034372 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2021 Divisadero St, Fresno, CA 93701-2013 | 2007-02-27 |
| Street Address |
2790 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656047 | Seqoia Community Health Foundation, Inc. | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2006-05-17 |
| 1730318254 | Tamarrah D Oliver | Physician Assistant | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2009-07-06 |
| 1609073584 | Virginia Sanchez | Social Worker | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-07-02 |
| 1659581189 | Angel Ponce | Dietitian, Registered | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-05-23 |
| 1396872750 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1205963667 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1114054574 | Sequoia Community Health Foundation, Inc | Clinic/Center | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2007-02-27 |
| 1932112679 | Jacinto Renatto Medina | Dermatology | 2790 S Elm Ave, Fresno, CA 93706-5435 | 2006-08-14 |
| 1568478469 | William Dixon | Physician Assistant | 2790 S Elm Ave, Fresno, CA 93706 | 2006-07-31 |
| 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 |
|---|---|---|---|---|
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| 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.