Healthcare Provider Details

I. General information

NPI: 1255211207
Provider Name (Legal Business Name): CESAR MOTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 W LACEY BLVD
HANFORD CA
93230-5901
US

IV. Provider business mailing address

2584 MAYFAIR CT
HANFORD CA
93230-1298
US

V. Phone/Fax

Practice location:
  • Phone: 559-235-9239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: