Healthcare Provider Details

I. General information

NPI: 1205767522
Provider Name (Legal Business Name): MR. DANIELE SALVATORE FARACI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 N U ST
FRESNO CA
93701-2438
US

IV. Provider business mailing address

755 E NEES AVE # 27173
FRESNO CA
93720-2151
US

V. Phone/Fax

Practice location:
  • Phone: 559-445-9094
  • Fax:
Mailing address:
  • Phone: 310-882-0590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: