MEDICARE: MIGHTY COMMUNITY ADVOCACY

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	251V00000X	Voluntary or Charitable Agency
2	374J00000X	Doula

General Provider Information

NPI Number	:	1487368866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGHTY COMMUNITY ADVOCACY

Provider Business Mailing Address
First Line	:	1805 VAN NESS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1132
Country	:	US
Telephone Number	:	559-242-6744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 VAN NESS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1132
Country	:	US
Telephone Number	:	559-242-6744
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NISHEA MARTINEZ
Credential	:
Telephone Number	:	559-999-6831

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	09/02/2025

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Directions to “MIGHTY COMMUNITY ADVOCACY ” Practice Location

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