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SIGNATURE PROVIDERS NURSING CORP
NPI 1265263065
Nurse Practitioner - Psychiatric/Mental Health in Fresno, CA

Active since August 13, 2024
1690 W SHAW AVE STE 220, FRESNO, CA 93711(888) 848-4364(833) 218-8844 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Sep 14, 2024, Aug 13, 2024 (3 updates tracked since 2024).

About Signature Providers Nursing Corp NPPES

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

SIGNATURE PROVIDERS NURSING CORP (NPI 1265263065) is a healthcare organization registered as a psychiatric/mental health in Fresno, California and active in the NPI registry since August 2024. The organization lists Mark Aganya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265263065
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSIGNATURE PROVIDERS NURSING CORP
Location Address1690 W SHAW AVE STE 220Fresno, CA 93711-3519
Mailing AddressPo Box 392Coalinga, CA 93210-0392 · (888) 848-4364
Phone(888) 848-4364
Fax(833) 218-8844
Organization SubpartNo
Authorized OfficialMark AganyaCeo · (888) 848-4364
Enumeration DateAugust 13, 2024
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1265263065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1690 W SHAW AVE STE 220, Fresno, CA 93711
Open in Google Maps ↗

Other Identifiers 1

Medicaid1366270621CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

HEALTHWINS WITH JANA
Dietitian, Registered (Nutrition, Obesity and Weight Management)
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (209) 769-0440
MS. THERESA LORELLE CARTER LCSW
Social Worker (Clinical)
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (415) 818-2352
MARK AGANYA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (888) 848-4364
FLOWER DEVINE
Case Management
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (559) 774-9123
BRYANNA LOPEZ BEAMS
Behavior Technician
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (559) 691-3543
MISS WHITNEY ELIZABETH ENSOM-LEWIS
Social Worker (Clinical)
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (559) 908-0922
NEURO MEDICAL ASSOCIATES, INC.
Clinic/Center
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (818) 574-3761
THERESA L. CARTER, LCSW
Social Worker (Clinical)
1690 W SHAW AVE STE 220
FRESNO, CA 93711
Fresno County (415) 818-2352

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 Signature Providers Nursing Corp's NPI number?

The NPI number for Signature Providers Nursing Corp is 1265263065. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Signature Providers Nursing Corp located?

Signature Providers Nursing Corp is located at 1690 W Shaw Ave Ste 220, Fresno, CA 93711. The listed phone number is (888) 848-4364.

What is Signature Providers Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Signature Providers Nursing Corp was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.