NPIMap

Organization Active NPI

Fresno Children's Medical Group, Inc

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1083644801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FRESNO CHILDREN'S MEDICAL GROUP, INC
Practice address
7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Phone
(559) 438-2300
Fax
(559) 438-1531
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maurice Gillespie, M.D.
Title
C.E.O.
Phone
(559) 438-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

7720 N Fresno St
Suite 104
Fresno, CA 93720-2407

Mailing address

7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Phone (559) 438-2300

National Provider Directory

National Provider Directory

Locations

7720 N Fresno St
Ste 104
Fresno, CA 93720
Phone (559) 438-1802

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083644801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202407",
            "telephone_number": "559-438-2300",
            "fax_number": "559-438-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202407",
            "telephone_number": "559-438-2300",
            "fax_number": "559-438-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO CHILDREN'S MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "559-438-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.