Individual provider Active NPI

Lourdes Delrosso, MD

  • Sleep Medicine (Family Medicine) Physician
  • Fresno, CA
National Provider Identifier
1013972231
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
A74082 Issued in CA
Practice address
6733 N Willow Ave Ste 107
Fresno, CA 93710-5953
Phone
(559) 435-4700
Fax
(559) 298-7951
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A74082 CA
Sleep Medicine (Family Medicine) Physician 207QS1201X A74082 CA Primary

Addresses

Primary practice location

6733 N Willow Ave Ste 107
Fresno, CA 93710-5953

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223001343 CA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 4082892500 Reassigns benefits to 2 organizations
I20180220001171 WA Practitioner - Pediatric Medicine 4082892500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central California Faculty Medical Group IncGroup PAC ID 8325952773, 256 clinicians

Practice addresses (Care Compare)

6733 N Willow Ave
Suite 107
Fresno, CA 93710-5953
Phone (559) 435-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74082CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Association of CHMC and University Physicians CurrentSince Jan 29, 2018 Accepting new patients
University Faculty Associates , Inc. CurrentSince Jan 3, 2023 Accepting new patients
University Faculty Associates, Inc. Family Medicine CurrentSince Jan 3, 2023 Accepting new patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Jan 29, 2018 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Santa Cruz Medical Clinic, Inc Family Medicine Past Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

6733 N Willow Ave
Ste 107
Fresno, CA 93710
Phone (559) 435-4700

290 N Wayte Ln
Ste 2200
Fresno, CA 93701

290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

Interoperability endpoints

  • Direct secure messaging: lourdes.delrosso.1@31788.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1013972231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 N WILLOW AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105953",
            "telephone_number": "559-435-4700",
            "fax_number": "559-298-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELROSSO",
        "first_name": "LOURDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74082",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A74082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.