California Telemedicine Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALIFORNIA TELEMEDICINE ASSOCIATES, P.C.

Practice address

7111 N Fresno St
Fresno, CA 93720-2965

Phone

(800) 882-5484

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Mark Shen, MD

Title

President

Phone

(800) 475-6168

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Thomas Hennigan

  • Physician Assistant
  • San Diego, CA
  • NPI 1770981888
  NPD
• Marcus D Zachary, DO

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1396859229
  NPD
• Lea Louise Gattoni, PA-C

  • Physician Assistant
  • Parker, CO
  • NPI 1720156755
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1073153250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 N FRESNO ST STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202959",
            "telephone_number": "800-882-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202965",
            "telephone_number": "800-882-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA TELEMEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-475-6168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100152781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California State University Fresno Foundation
• California State University Fresno Foundation
• California Surgical Medical Clinics Inc. (Advanced Surgical Clinics)
• California Surgical Medical Clinics Inc. (Advanced Cosmetic & Aesthetic Surgery Center)
• California Surgical Medical Clinics Inc.
• California Vein & Laser Center Medical Clinic Inc.
• Californiahomehealth
• Calivance DME LLC
• Thomas Calkins
• Cynthia Renee Callaghan, LCSW

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.