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COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC NPI 1821075748


NPI Information

NPI: 1821075748
Provider Name: COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2275964

Address:
1180 E SHAW AVE
STE 125
FRESNO, CA
ZIP 93710
Phone: (559) 228-4200
Get Directions

COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC is a family medicine in Fresno, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC NPI is 1821075748. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1180 E SHAW AVE
STE 125
FRESNO, CA
ZIP 93710-812
Phone: (559) 228-4200
Fax: (559) 224-3920

The provider's authorized official is Grant Nakamura .
The authorized official title is Medical Director and has the following contact phone number (559) 228-5400.

The CLIA number assigned to this NPI record is 05D2275964 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 10/25/2011.


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
1207Q00000XFamily MedicineG50552CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0068694MEDICAIDCALIFORNIA
2GR0068693MEDICAIDCALIFORNIA
3GR0068692MEDICAIDCALIFORNIA
4ZZZ14493ZMEDICARE PINCALIFORNIA
5GR0068696MEDICAIDCALIFORNIA
6GR0068695MEDICAIDCALIFORNIA
7ZZZ31935ZMEDICARE PINCALIFORNIA
8BR459ZMEDICARE PINCALIFORNIA
9GR0068690MEDICAIDCALIFORNIA
10ZZZ14496ZMEDICARE PINCALIFORNIA
11ZZZ14468ZMEDICARE PINCALIFORNIA
12ZZZ14469ZMEDICARE PINCALIFORNIA
13ZZZ14467ZMEDICARE PINCALIFORNIA
14CE2327MEDICARE PINCALIFORNIA
15GR0068691MEDICAIDCALIFORNIA
16ZZZ14495ZMEDICARE PINCALIFORNIA
17ZZZ16576ZMEDICARE PINCALIFORNIA
18ZZZ14466ZMEDICARE PINCALIFORNIA
19ZZZ14492ZMEDICARE PINCALIFORNIA

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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