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SAM DURAN PHD CLINICAL STUDENT
NPI 1104606961
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since September 29, 2023
4946 E YALE AVE STE 103, FRESNO, CA 93727(559) 458-0210 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam Duran Phd Clinical Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM DURAN PHD CLINICAL STUDENT (NPI 1104606961) is an individual student in an organized health care education/training program in Fresno, California, licensed in California (8405) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1104606961
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAM DURANCredential: PHD CLINICAL STUDENT
Location Address4946 E YALE AVE STE 103Fresno, CA 93727-1571
Mailing Address1550 W Ashlan Ave Apt 241Fresno, CA 93705-1918 · (559) 558-7961
Phone(559) 458-0210
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1104606961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 8405
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4946 E YALE AVE STE 103, Fresno, CA 93727
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBIN FEY SJOSTRAND PH.D.
Psychologist (Clinical)
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 250-5885
LISA CRISWELL, LICENSED CLINICAL SOCIAL WORKER
Social Worker (Clinical)
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 681-8707
LISA ANNE CRISWELL LCSW
Social Worker (Clinical)
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (619) 245-7299
QCC-QUALITY GROUP HOMES, INC.
Point of Service
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 458-0210
INNOVATIONS COUNSELING SERVICES
Point of Service
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (323) 326-0860
DEVINALEXUS MARIN
Student in an Organized Health Care Education/Training Program
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 458-0210
ANOTHER CHANCE MARRIAGE AND FAMILY COUNSELING SERVICES, INC.
Community/Behavioral Health
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 549-4508
KRISTINE VIDAURRI
Student in an Organized Health Care Education/Training Program
4946 E YALE AVE STE 103
FRESNO, CA 93727
Fresno County (559) 458-0210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Duran's NPI number?

The NPI number for Sam Duran is 1104606961. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Sam Duran located?

Sam Duran practices at 4946 E Yale Ave Ste 103, Fresno, CA 93727. The listed phone number is (559) 458-0210.

What is Sam Duran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sam Duran was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.