| Central Valley Urgent Care Medical Group Inc | |
|
199 W Shields Ave Fresno CA 93705-4102 | |
| (559) 225-4706 | |
| (559) 225-4710 |
| Full Name | Central Valley Urgent Care Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 199 W Shields Ave, Fresno, California |
| Authorized Official Name and Position | Brent A Wilson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5592254706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Urgent Care Medical Group Inc 199 W Shields Ave Fresno CA 93705-4102 Ph: (559) 225-4706 | Central Valley Urgent Care Medical Group Inc 199 W Shields Ave Fresno CA 93705-4102 Ph: (559) 225-4706 |
| NPI Number | 1942294327 |
|---|---|
| Provider Enumeration Date | 08/31/2005 |
| Last Update Date | 10/27/2014 |
| Medicare PECOS PAC ID | 8022901933 |
|---|---|
| Medicare Enrollment ID | O20040204000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942294327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent A Wilson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184647091 PECOS PAC ID: 8426087453 Enrollment ID: I20050809001114 |
| Provider Name | Kelly A Sharrar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803165 PECOS PAC ID: 5395839740 Enrollment ID: I20070917000442 |
| Provider Name | Colleen E Saliba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114394475 PECOS PAC ID: 2961794102 Enrollment ID: I20160914000939 |
| Provider Name | John D Kampschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194019422 PECOS PAC ID: 8628360856 Enrollment ID: I20160927002126 |
| Provider Name | Marieta Marcial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811095037 PECOS PAC ID: 5597036327 Enrollment ID: I20170811002412 |
| Provider Name | Glenn Alan Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740566736 PECOS PAC ID: 7618130410 Enrollment ID: I20200707000467 |
| Provider Name | Michael J Palms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336739739 PECOS PAC ID: 8628485307 Enrollment ID: I20210324002194 |
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United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |