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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Robyn Russell

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City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Russell
First Name
Robyn
Address
6760 N West Ave Ste 101
State
CA
Zip Code
93711
Phone
(866)523-4268
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.S.
Physician ID
912773
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1720430846
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB40150
Email
credentialing@kadiant.com
Board Certified
No
Self Access Flag
Self Reported Data
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Is any of the information above incorrect? Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.