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 1247 E Alluvial Ave Suite 101, Fresno CA 93720-2686. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Central California Faculty Medical Group, Inc. can be contacted via phone (559) 431-6226, or through Van Gundy, Karl P via phone (559) 453-5200.
Contact Information
Primary practice address
1247 E Alluvial Ave Suite 101
Fresno CA 93720-2686
Phone: (559) 431-6226
Fax: (559) 440-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1669507752 |
|---|---|
| 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 22nd, 2007 |
| Last updated | Nov 20th, 2014 - about 10 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 | 1669507752 | NPPES |
| California | Other | DC4679 | RAILROAD MEDICARE |
| California | MEDICAID | GR0014818 | RAILROAD MEDICARE |
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