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SAINT AGNES MEDICAL FOUNDATION NPI 1558819482


NPI Information

NPI: 1558819482
Provider Name: SAINT AGNES MEDICAL FOUNDATION
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1303 E HERNDON AVE
SUITE 850
FRESNO, CA
ZIP 93720
Phone: (559) 450-5756
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SAINT AGNES MEDICAL FOUNDATION is an internal medicine in Fresno, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SAINT AGNES MEDICAL FOUNDATION NPI is 1558819482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1303 E HERNDON AVE
SUITE 850
FRESNO, CA
ZIP 93720
Phone: (559) 450-5756
Fax: (559) 450-7470

The provider's authorized official is Michael V Prusaitis .
The authorized official title is Board Member and has the following contact phone number (559) 450-5756.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 5/16/2018.


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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineYes
4207T00000XNeurological SurgeryNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7208600000XSurgeryNo
82086S0122XSurgeryPlastic and Reconstructive SurgeryNo
9208C00000XColon & Rectal SurgeryC42011CALIFORNIANo
10208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
11261QM1300XClinic/CenterMulti-SpecialtyNo

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: 11/14/2023

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