Staywell Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STAYWELL MEDICAL GROUP

Practice address

7413 N Cedar Ave Ste 101
Fresno, CA 93720-3833

Phone

(559) 261-1111

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Pavittar Grewal, MDNPI 1477837748

Title

Director

Phone

(559) 259-8800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pavittar Singh Grewal, M.D.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1477837748
  NPD (past) Authorized official

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1124567938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E BELLA ROSA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937307026",
            "telephone_number": "559-259-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-261-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "PAVITTAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-259-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Start Fresh Central Valley Recovery
• State Health Care Dual Diagnosis
• State Health Care Dual Diagnosis Program
• Lynette Coleman Statham, LCSW
• Yannis M Stavropoulos, MD
• Rmanda Steadman
• Nicholas Stearns
• Diane Marie Steel, MS
• Deborah Ann Steele, RN, MFT, PHD
• Finnian M Steele, D.O.

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.