A NEW AWAKENING OF THE SAN JOAQUIN – NPI #1629699327
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

A NEW AWAKENING OF THE SAN JOAQUIN is a substance abuse rehabilitation facility located in FRESNO, CA. NPPES has assigned the NPI number 1629699327 to A NEW AWAKENING OF THE SAN JOAQUIN on May 04, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Sep 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A NEW AWAKENING OF THE SAN JOAQUIN below.

NPI Profile for
A NEW AWAKENING OF THE SAN JOAQUIN

NPI Number
1629699327
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A NEW AWAKENING OF THE SAN JOAQUIN
Primary location
1121 S DEE ANN AVE
FRESNO, CA 93727-0847
Phone: (559) 579-0935 Fax:
Mailing address
4576 E SHIELDS AVE
FRESNO, CA 93726-7220
Phone: (559) 258-0249 Fax: (559) 258-0249
Organization Subpart
No
Authorized Official
JUAN CAMPOS
OPERATIONS DIRECTOR
Phone: (559) 721-9279
Updated
Certification Date
Sep 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.