NPI 1134777071

California Impact Services

Organisation PACE Provider Organization Fresno, CA

Practice location

Address: 1616 W Shaw Ave STE B4, Fresno, CA 93711-3513
Phone: (559) 458-3947
Mailing address: 1616 W Shaw Ave STE B, Fresno, CA 93711-3513

Authorised official

Name: Joshua McWealth
Title: Executive Director
Phone: (559) 458-3947

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in California →

Registry record

NPI: 1134777071
Entity type: Organization
NPI issued: 3 Sep 2019
Record last updated: 3 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.