Healthcare Provider Details

I. General information

NPI: 1043061153
Provider Name (Legal Business Name): MARIA ALICIA ARTEAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4324 W HARVARD AVE
FRESNO CA
93722-5183
US

IV. Provider business mailing address

411 W COSTNER ST
FARMERSVILLE CA
93223-1404
US

V. Phone/Fax

Practice location:
  • Phone: 559-681-1470
  • Fax:
Mailing address:
  • Phone: 559-302-6739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: