Healthcare Provider Details

I. General information

NPI: 1841107026
Provider Name (Legal Business Name): RILEY VAN PATTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 N CONTESSA AVE
FRESNO CA
93723-7618
US

IV. Provider business mailing address

5365 N CONTESSA AVE
FRESNO CA
93723-7618
US

V. Phone/Fax

Practice location:
  • Phone: 559-284-5686
  • Fax:
Mailing address:
  • Phone: 559-284-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: