Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETHANY ANN AGBISIT
NPI 1679118947
Peer Specialist in Fresno, CA

Q: What is Bethany Agbisit's NPI number?

The NPI number for Bethany Agbisit is 1679118947. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Q: What is Bethany Agbisit's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethany Agbisit was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since November 11, 2019

3433 W SHAW AVE # 107, FRESNO, CA 93711(559) 476-2115 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Aug 8, 2023, Nov 11, 2019 (3 updates tracked since 2019).

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About Bethany Ann Agbisit NPPES

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

BETHANY ANN AGBISIT (NPI 1679118947) is an individual peer specialist in Fresno, California, licensed in California (MPSS-TRDBIY) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1679118947

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameBETHANY ANN AGBISIT

Location Address3433 W SHAW AVE # 107Fresno, CA 93711-3229

Mailing Address3433 W Shaw Ave # 107Fresno, CA 93711-3229 · (559) 476-2115

Phone(559) 476-2115

Sole ProprietorNo

Enumeration DateNovember 11, 2019

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1679118947 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-TRDBIY

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 ListedCommunity Health WorkerTaxonomy 172V00000X

3433 W SHAW AVE # 107, Fresno, CA 93711

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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.

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