Central California Faculty Medical Group, Inc. is a
Surgery - Vascular Surgery based in Fresno, California. Central California Faculty Medical Group, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
1247 E Alluvial Ave, Suite 101, Fresno, California. It can be reached at their office (for appointments etc.) via phone at
(559) 431-6226.
NPI number for Central California Faculty Medical Group, Inc. is 1669507752 and their current mailing address is 2625 E Divisadero St, Fresno, California. Central California Faculty Medical Group, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1669507752.
Healthcare Provider's Profile
| Full Name | Central California Faculty Medical Group, Inc. |
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| Type | Facility |
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| Speciality | Surgery - Vascular Surgery |
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| Location | 1247 E Alluvial Ave, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669507752
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 11/20/2014
Medical Identifiers
Medical identifiers for Central California Faculty Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669507752 | NPI | - | NPPES |
| DC4679 | Other | CA | RAILROAD MEDICARE |
| GR0014818 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Central California Faculty Medical Group, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Central California Faculty Medical Group, Inc.
2625 E Divisadero St,
Fresno, CA 93721-1431
Ph: (559) 443-2682 | Central California Faculty Medical Group, Inc.
1247 E Alluvial Ave, Suite 101,
Fresno, CA 93720-2686
Ph: (559) 431-6226 |
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