Community Medical Providers Medical Group Inc
LBN: Community Medical Providers Medical Group Inc
Community Medical Providers Medical Group Inc is an health care organization with primary practice located at 1180 E Shaw Ave Ste 125, Fresno CA 93710-7812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Community Medical Providers Medical Group Inc can be contacted via phone (559) 228-4200, or through Nakamura, Grant via phone (559) 228-5400.
Contact Information
Primary practice address
1180 E Shaw Ave Ste 125
Fresno CA 93710-7812
Phone: (559) 228-4200
Fax: (559) 224-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G50552 | California |
Profile Details
| NPI number | 1821075748 |
|---|---|
| LBN Legal business name | Community Medical Providers Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Nakamura, Grant Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 25th, 2011 - about 13 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 | 1821075748 | NPPES |
| California | MEDICAID | GR0068691 | |
| California | MEDICAID | GR0068696 | |
| California | MEDICAID | GR0068690 | |
| California | MEDICAID | GR0068695 | |
| California | MEDICAID | GR0068692 | |
| California | MEDICAID | GR0068693 | |
| California | MEDICAID | GR0068694 |
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