Central California Faculty Medical Group, Inc.
LBN: Central California Faculty Medical Group, Inc.
Central California Faculty Medical Group, Inc. is an health care organization with primary practice located at 7415 N Cedar Ave Suite 102, Fresno CA 93720-3834. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Central California Faculty Medical Group, Inc. can be contacted via phone (559) 435-6600, or through Van Gundy, Karl P via phone (559) 443-2682.
Contact Information
Primary practice address
7415 N Cedar Ave Suite 102
Fresno CA 93720-3834
Phone: (559) 435-6600
Fax: (559) 435-6622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1205971595 |
|---|---|
| LBN Legal business name | Central California Faculty Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Van Gundy, Karl P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 27th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205971595 | NPPES |
| California | MEDICAID | GR0077242 | |
| California | MEDICAID | GR0077240 | |
| California | MEDICAID | GR0077243 | |
| California | MEDICAID | GR0014819 | |
| California | MEDICAID | GR0014812 |
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