Healthcare Provider Details

I. General information

NPI: 1669294237
Provider Name (Legal Business Name): RONY MICHAEL ALANIZ FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1193 E HERNDON AVE STE 106
FRESNO CA
93720-3156
US

IV. Provider business mailing address

1207 E HERNDON AVE
FRESNO CA
93720-3235
US

V. Phone/Fax

Practice location:
  • Phone: 559-432-4303
  • Fax:
Mailing address:
  • Phone: 559-432-4303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95029839
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95029839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: