MEDICARE: MAYRA DELGADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ASW134750	CA

General Provider Information

NPI Number	:	1194496513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYRA DELGADO

Provider Business Mailing Address
First Line	:	270 W BIRCH AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93611-0205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4447 E CESAR CHAVEZ BLVD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-3604
Country	:	US
Telephone Number	:	559-600-9180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	02/10/2026

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Directions to “ MAYRA DELGADO ” Practice Location

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