OrganizationActive
Prodigy Healthcare, Inc.
NPI 1497051627 · Substance Use Disorder Rehabilitation Clinic/Center · Fowler, CA
Provider details
- NPI number
- 1497051627
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prodigy Healthcare, Inc.
- Organization subpart
- Yes
- Authorized official
- Jagdip Dhanda, Ceo(559) 892-9452
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 E Merced St
(rooms 1-7 , Conference Room )
Fowler, CA 93625-2316
Phone: (888) 885-5580
Fax: (888) 885-5580
Street-level locationGet directions
Mailing address
Po Box 820
Fowler, CA 93625-0820
Registry dates
- Enumerated
- 2011-02-05
- Last updated
- 2013-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.