Family Wellness Clinic, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY WELLNESS CLINIC, INC

Practice address

1817 Shaw Ave Ste 101
Clovis, CA 93611-4069

Phone

(559) 360-9698

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. San Gabriel, MDNPI 1922025857

Title

President

Phone

(559) 360-9698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• San Anwar Fahmy Gabriel, MD

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1922025857

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Andrew Gabriel, DO

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1669977740

  CA, Internal Medicine

  Medicare reassignment NPD
• Evette Boshra Zikry Gabriel, PA

  • Physician Assistant
  • Fresno, CA
  • NPI 1093021693

  CA

  Medicare reassignment

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1013430982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114069",
            "telephone_number": "559-940-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114069",
            "telephone_number": "559-360-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "SAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-360-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Alaine Ortega Faelnar-Sincero, CCC-SLP
• Zachary Dillon Fair, PHARMD.
• Maria Falcocchia, MD
• Tyler Fallert
• Family Therapy Solutions, Inc
• Andrea Lynn Farber-de Zubiria, PT
• Bushra Farooqui
• Erin Therese Fay, PNP
• Stacy Lynn Fazio, LCSW
• Anne Federico

• All providers in Clovis, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.