Healthcare Provider Details

I. General information

NPI: 1689500043
Provider Name (Legal Business Name): HAVEN HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6065 N 1ST ST STE 101
FRESNO CA
93710-5469
US

IV. Provider business mailing address

6065 N 1ST ST STE 101
FRESNO CA
93710-5469
US

V. Phone/Fax

Practice location:
  • Phone: 559-840-3955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN TREVINO
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 559-940-8487