Healthcare Provider Details

I. General information

NPI: 1730073040
Provider Name (Legal Business Name): CULTIVA LA SALUD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 MERCED ST STE 103
FRESNO CA
93721-1829
US

IV. Provider business mailing address

2409 MERCED ST STE 103
FRESNO CA
93721-1829
US

V. Phone/Fax

Practice location:
  • Phone: 559-498-0870
  • Fax:
Mailing address:
  • Phone: 559-498-0870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: EVELYN MORALES
Title or Position: PROJECT MANAGER
Credential:
Phone: 559-340-8865