Impact Medical Associates North

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMPACT MEDICAL ASSOCIATES NORTH

Practice address

6327 N Fresno St Ste 104
Fresno, CA 93710-5236

Phone

(714) 905-9503

NPI assigned

Sep 18, 2026

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Connelly

Title

Ceo

Phone

(714) 905-9503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1083526883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 AVENIDA ENCINAS STE 103",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084332",
            "telephone_number": "714-905-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 N FRESNO ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105236",
            "telephone_number": "714-905-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL ASSOCIATES NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-905-9503"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imc Care Home, Inc
• Imgrx SJ Valley, Inc. (United Health Centers Pharmacy Fresno)
• Immediate Care Pharmacy Inc
• Impact Behavioral Health and Recovery Care Corp
• Impact Imaging, Inc
• Impact Medical Group
• Impact Medical Group, Professional Corporation
• Maria Imperatrice
• Joselio Giles Legaspi Imperial Jr.
• Ylamher Claire Bufi Imperial

• 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 Sep 18, 2026; 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.