Healthcare Provider Details

I. General information

NPI: 1427317981
Provider Name (Legal Business Name): FRESNO AMERICAN INDIAN HEALTH PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E SHAW AVE STE 128&139
FRESNO CA
93710-8024
US

IV. Provider business mailing address

1551 E SHAW AVE STE 128&139
FRESNO CA
93710-8025
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-0490
  • Fax: 559-320-0494
Mailing address:
  • Phone: 559-320-0490
  • Fax: 559-320-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. SELINA DELAPENA
Title or Position: CEO
Credential: M.B.A.
Phone: 559-320-0490