Healthcare Provider Details

I. General information

NPI: 1447075957
Provider Name (Legal Business Name): ANDREA NEGRETE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA TORRES

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1396 W HERNDON AVE STE 101
FRESNO CA
93711-7126
US

IV. Provider business mailing address

103 B ST
LEMOORE CA
93245-2921
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-0100
  • Fax:
Mailing address:
  • Phone: 559-209-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: