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Contact Information

COMMUNITY FOUNDATION MEDICAL GROUP
7370 N PALM AVE STE 101
FRESNO, CA93711-5782
 Phone: 559-228-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for COMMUNITY FOUNDATION MEDICAL GROUP

NPI # 1134668353
LBN Legal business name COMMUNITY FOUNDATION MEDICAL GROUP
Authorized official SCOTT WELLS - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/21/2017
Last updated 03/09/2023 - About 3 years ago
Identifiers
CA Medicaid GG694A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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