Individual provider Active NPI

Patrick Stuart, D.O.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1104811330
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5257 Issued in CA
Practice address
1570 E Herndon Ave
Fresno, CA 93720-3303
Phone
(559) 437-7311
Fax
(559) 437-7152
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Valley Indian Health Inc 33 clinicians

Practice addresses (Care Compare)

32938 Rd
222 Suite 2
North Fork, CA 93643-9562
Phone (559) 877-4676

Hospital & facility affiliations

  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050726001100 CA Practitioner - Family Practice 0244267714 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5257CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Perinatology Medical Group Inc CurrentSince May 10, 2010 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Central Valley Indian Health Inc Family Medicine Current Accepting new patients
Central Valley Indian Health, Inc. Family Medicine CurrentSince Jun 30, 2024 Accepting new patients
Central Valley Indian Health, Inc Family Medicine CurrentSince Jun 30, 2024 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Central Valley Indian Health Inc Family Medicine Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Marvin P Matlock M D Inc Past Accepting new patients

Locations

2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

1570 E Herndon Ave
#7
Fresno, CA 93720

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

32938 Road 222
#2
North Fork, CA 93643
Phone (559) 299-4264

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5257 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1570 E Herndon Ave
Fresno, CA 93720-3303

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
020A52570MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2019.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1104811330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203303",
            "telephone_number": "559-437-7311",
            "fax_number": "559-437-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020A52570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.