Organization Active NPI

Community Health Partners

  • Urology Physician
  • Fresno, CA
National Provider Identifier
1003511296
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
COMMUNITY HEALTH PARTNERS
Practice address
6107 N Fresno St Ste 103
Fresno, CA 93710-8609
Phone
(559) 603-7700
Fax
(559) 603-7218
NPI assigned
Apr 5, 2023
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherie Archie
Title
Authorized Official
Phone
(559) 451-3675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

6107 N Fresno St Ste 103
Fresno, CA 93710-8609

Mailing address

789 Medical Center Drive East
Clovis, CA 93611

Other practice location 1

2473 E Fir Ave
Fresno, CA 93720-0538
Phone (559) 603-7525

National Provider Directory

National Provider Directory
Part of
Community Health Partners

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6107 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 435-4433

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1003511296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 MEDICAL CENTER DRIVE EAST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 N FRESNO ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108609",
            "telephone_number": "559-603-7700",
            "fax_number": "559-603-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2473 E Fir Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200538",
            "country_code": "US",
            "telephone_number": "559-603-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH PARTNERS",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-451-3675"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.