Healthcare Provider Details
I. General information
NPI: 1518816933
Provider Name (Legal Business Name): HENRY ANTHONY TURPIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/27/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 N BLACKSTONE AVE
FRESNO CA
93701-1939
US
IV. Provider business mailing address
2940 N FRESNO ST
FRESNO CA
93703-1123
US
V. Phone/Fax
- Phone: 559-939-5999
- Fax:
- Phone: 559-939-5999
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | MPSS-NOBMZI |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: