FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (NPI# 1316027709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316027709 |
| Entity Type | Organization |
| Organization Name | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | CLOVIS COMMUNITY MEDICAL CENTER |
| Practice Address |
2755 Herndon Ave Clovis CA 93611-6800 |
| Practice Telephone | 5594591672 |
| Practice Fax Number | 5594591058 |
| Mailing Telephone | 5593244000 |
| Mailing Fax Number | 5593243744 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MR. CRAIG STANLEY CASTRO (CEO) |
| Authorized Official Telephone | 5593244884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 040000004 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Clovis Community Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588745137 | Fresno Community Hospital and Medical Center | Home Health | 1630 E Shaw, Suite 154, Fresno, CA 93710-8109 | 2006-10-18 |
| 1295816569 | Fresno Community Hospital and Medical Center | Skilled Nursing Facility | 3003 N Mariposa St, Fresno, CA 93703-1127 | 2006-10-17 |
| 1497836613 | Fresno Community Hospital and Medical Center | Clinic/Center | 501 N. Medical Center Drive East, Suite 1100, Clovis, CA 93611 | 2006-10-17 |
| 1649238692 | Fresno Community Hospital and Medical Center | Clinic/Center | 1925 E Dakota Ave, Fresno, CA 93726-4821 | 2006-05-01 |
| 1851835417 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2016-12-15 |
| 1245653963 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2014-01-31 |
| 1932475589 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| 1104192756 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2012-03-28 |
| 1922374578 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2823 Fresno St, Fresno, CA 93721-1324 | 2012-03-28 |
| 1962778514 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| Street Address |
2755 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943069 | Robert A Strobl | Nurse Anesthetist, Certified Registered | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2005-09-20 |
| 1548806912 | Michelle Perkins | Registered Nurse | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-11-20 |
| 1578023289 | Ana Lacey Tilghman | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-03-20 |
| 1023592334 | Deniz Baysal Md Inc | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-09-21 |
| 1184117483 | Khang Vu | Pharmacist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-06-11 |
| 1982101598 | Kara Rose Pratt | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-04-10 |
| 1629571740 | Melissa Maduell | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-03-15 |
| 1013439876 | Cheree Nicole Sosin | Pharmacist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2017-07-13 |
| 1538605068 | Insiya Rasiwala | Internal Medicine | 2755 Herndon Ave, Clovis, CA 93611 | 2017-01-08 |
| 1831542091 | Ana Lucia Atkinson | Speech-Language Pathologist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2016-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710343256 | Jason Ta | General Acute Care Hospital | 2447 Carson Ave, Clovis, CA 93611-6548 | 2016-01-13 |
| 1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
| 1689960353 | Berian Davies | General Acute Care Hospital | 7666 N Highland Ave, Clovis, CA 93619-9030 | 2011-06-21 |
| 1447414800 | Community Regional Medical Center | General Acute Care Hospital | 874 Joliet Ln, Clovis, CA 93619-7695 | 2008-07-15 |
| 1023592334 | Deniz Baysal Md Inc | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-09-21 |
| 1932475589 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| 1962778514 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| 1497021042 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| 1235303306 | Clovis Community Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.