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COMMUNITY FOUNDATION MEDICAL GROUP NPI 1821761743


NPI Information

NPI: 1821761743
Provider Name: COMMUNITY FOUNDATION MEDICAL GROUP

Doing Business As: SANTE' FOUNDATION MEDICAL GROUP

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 05D2090320

Address:
1516 SHAW AVE
CLOVIS, CA
ZIP 93611
Phone: (559) 228-5400
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COMMUNITY FOUNDATION MEDICAL GROUP is a foot and ankle surgery podiatrist in Clovis, CA. COMMUNITY FOUNDATION MEDICAL GROUP NPI is 1821761743. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sante' Foundation Medical Group.

The provider's business location address is:

1516 SHAW AVE
CLOVIS, CA
ZIP 93611-028
Phone: (559) 228-5400

The provider's authorized official is Scott B Wells .
The authorized official title is Ceo/president and has the following contact phone number (559) 228-5429.

The CLIA number assigned to this NPI record is 05D2090320 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 2/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristNo
2213ES0131XPodiatristFoot SurgeryNo
3213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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