FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER (NPI# 1497836613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497836613 |
| Entity Type | Organization |
| Organization Name | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | COMMUNITY DIALYSIS CENTER-CLOVIS |
| Practice Address |
501 N. Medical Center Drive East Suite 1100 Clovis CA 93611 |
| Practice Telephone | 5593244030 |
| Practice Fax Number | 5593243748 |
| Mailing Telephone | 5593244030 |
| Mailing Fax Number | 5593243748 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MR. CRAIG STANLEY CASTRO (CEO) |
| Authorized Official Telephone | 5593244884 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
040000096 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Dialysis Center-Clovis | 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 |
| 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 |
| 1497021042 | Fresno Community Hospital and Medical Center | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2012-03-28 |
| Street Address |
501 N. MEDICAL CENTER DRIVE EAST SUITE 1100 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611 |
| 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 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620109 | Fresenius Medical Care Clovis, LLC | Clinic/Center | 2585 Alluval Ave, Clovis, CA 93611-9606 | 2017-10-17 |
| 1952770984 | Usrc Clovis, LLC | Clinic/Center | 4024 N Prince St, Clovis, NM 88101-9704 | 2015-09-21 |
| 1346352143 | Bio-medical Applications of New Mexico Inc | Clinic/Center | 2117 N Thomas St, Clovis, NM 88101-9486 | 2006-08-31 |
| 1215384458 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.