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RANDY VAN
NPI 1205626520
Peer Specialist in Fresno, CA

Active since May 09, 2025
2560 W SHAW LN STE 104, FRESNO, CA 93711(559) 443-4800 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Randy Van NPPES

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

RANDY VAN (NPI 1205626520) is an individual peer specialist in Fresno, California, licensed in California (MPSS-DJSZNA) and active in the NPI registry since May 2025. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205626520
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRANDY VAN
Location Address2560 W SHAW LN STE 104Fresno, CA 93711-2777
Mailing Address2560 W Shaw Ln Ste 104Fresno, CA 93711-2777 · (559) 443-4800
Phone(559) 443-4800
Sole ProprietorNo
Enumeration DateMay 9, 2025
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1205626520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-DJSZNA
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
2560 W SHAW LN STE 104, Fresno, CA 93711
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Secondary Practice Locations 2

Location 12020 High St Ste ESelma, CA 93662-3518 · Phone (559) 443-4800
Location 24939 E Yale AveFresno, CA 93727-1523 · Phone (559) 443-4800

Other Providers at the Same Location NPPES 20

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

NICOLE YVETTE SINERCHIO
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
PANG VUE
Social Worker
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
ANABEL CARRASCO
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
AUGUSTIN CISNEROS
Day Training/Habilitation Specialist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
MR. MIGUEL ANGEL AGUILAR MS. LMFT 149817
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800
GRISELL MARGARITA FRANCO GUZMAN
Social Worker (Clinical)
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (855) 343-1057
NORA NAVARRO-GARCIA
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 434-4800
GABRIEL CARLOS MONTHAN M.D.
Psychiatry & Neurology (Psychiatry)
2560 W SHAW LN STE 104
FRESNO, CA 93711
Fresno County (559) 443-4800

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 Randy Van's NPI number?

The NPI number for Randy Van is 1205626520. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Randy Van located?

Randy Van practices at 2560 W Shaw Ln Ste 104, Fresno, CA 93711. The listed phone number is (559) 443-4800.

What is Randy Van's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Randy Van was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.