Healthcare Provider Details

I. General information

NPI: 1144646878
Provider Name (Legal Business Name): JOSE FRANCISCO BARRAGAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2014
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 N MAPLE AVE STE 104
FRESNO CA
93720-8009
US

IV. Provider business mailing address

7005 N MAPLE AVE STE 104
FRESNO CA
93720-8009
US

V. Phone/Fax

Practice location:
  • Phone: 559-325-3503
  • Fax: 559-325-3504
Mailing address:
  • Phone: 559-325-3503
  • Fax: 559-325-3504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number3583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: