Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205626520 Individual Practitioner Male Practitioner

Randy Van

Peer Specialist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Randy Van is a registered healthcare professional specializing in Peer Specialist in Fresno, CA. Practice services are available at 2560 W SHAW LN STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2560 W Shaw Ln Ste 104

Fresno, CA 937112777

Telephone 5594434800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
88 Specialists

Practicing in Fresno, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-DJSZNA

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.

Health & Wellness Coach

NUCC Taxonomy Code: 171400000X

The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

Secondary Practice Locations

2020 High St Ste E

Selma, CA 936623518

Phone: 5594434800

4939 E Yale Ave

Fresno, CA 937271523

Phone: 5594434800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Sinerchio

Marriage & Family Therapist

NPI 1003263351
Pang Vue

Social Worker

NPI 1003292251
Anabel Carrasco

Marriage & Family Therapist

NPI 1003476763
Augustin Cisneros

Day Training/Habilitation Specialist

NPI 1003593047
Miguel Aguilar , MS LMFT

Marriage & Family Therapist

NPI 1013163989

MSLMFT

Marieli Negrete

Case Manager/Care Coordinator

NPI 1013579994

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2025

Registered at 2560 W SHAW LN STE 104, FRESNO, CA 937112777 (Tel: 5594434800)

📍
Updated Business Mailing Address May 09, 2025

Registered at 2560 W SHAW LN STE 104, FRESNO, CA 937112777 (Tel: 5594434800)

👤
Provider Name / Credentials Updated May 09, 2025

Recorded as RANDY VAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2025

Health & Wellness Coach

🟢
Initial NPI Registration & Enumeration May 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205626520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2025
Last Update: October 16, 2025
Sole Proprietor: No

Mailing Address

2560 W Shaw Ln Ste 104

Fresno, CA 937112777

Phone: 5594434800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.