Healthcare Provider Details

I. General information

NPI: 1649180134
Provider Name (Legal Business Name): BRENDA DELGADO SOTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N DOUTY ST STE 110
HANFORD CA
93230-3722
US

IV. Provider business mailing address

1536 STINSON DR
LEMOORE CA
93245-4943
US

V. Phone/Fax

Practice location:
  • Phone: 559-537-0170
  • Fax: 559-537-0250
Mailing address:
  • Phone: 559-589-5557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: