Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Miguel A Vieyra
| City Fresno                    | 
| Group HEALTH NET DIRECT FFS MEDI-CAL                                                                       | 
| Specialty Qualified Autism Svc Provider                      | 
| Last Name Vieyra                                                             | 
| First Name Miguel                                             | 
| Middle Name A          | 
| Address 2547 W Shaw Ave Ste 113                  | 
| State CA | 
| Zip Code 93711     | 
| Phone (559)241-7233  | 
| Hours Mon - Sat 8:00 AM - 6:00 PM                                                                                              | 
| Gender M | 
| Title M.A.    | 
| Physician ID   915342        | 
| Language 1 Sign Language                  | 
| Language 2 Spanish                        | 
| Section Number A | 
| County FRESNO | 
| Accepting New Patient Yes | 
| PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                         | 
| PPG ID MHDML | 
| NPI Number   1225501299  | 
| Access Requirement Limited | 
| PARKING_IND P | 
| EXT_BUILD_IND EB | 
| INT_BUILD_IND IB | 
| RESTROOM_IND R | 
| License ID BCB34074           | 
| Email credentialing@plutushealthinc.com                            | 
| Board Certified No | 
| Self Access Flag Self Reported Data | 


