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 2625 E Divisadero St , Fresno CA 93721-1431. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Central California Faculty Medical Group, Inc. can be contacted via phone (559) 453-5200, or through Van Gundy, Karl P. via phone (559) 443-2682.
Contact Information
Primary practice address
2625 E Divisadero St
Fresno CA 93721-1431
Phone: (559) 453-5200
Fax: (559) 443-2681
Website:
Health care specialties
Profile Details
| NPI number | 1992742852 |
|---|---|
| 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 | Jun 1st, 2006 |
| 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 | 1992742852 | NPPES |
| California | MEDICAID | GRE001360 | |
| California | MEDICAID | GR0077244 | |
| California | MEDICAID | GPS000540 | |
| California | MEDICAID | GR0077241 | |
| California | MEDICAID | ZZZ83317Z |
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