Express Care Medical Group, a Professional Corporation
Organization Active NPI Internal Medicine Physician · Clovis, CA
NPI 1124886882 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1124886882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- EXPRESS CARE MEDICAL GROUP, A PROFESSIONAL CORPORATION
- Practice address
- 2131 Herndon Ave Ste 103
Clovis, CA 93611-6304 - Phone
- (559) 578-8844
- Fax
- (559) 578-8899
- NPI assigned
- Mar 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Dennis Malate Redubla, NP-C
- Title
- Owner
- Phone
- (559) 840-2727
Practitioners 8
-
Manpreet Singh, MD
-
Dina A. Jackson, PA-C
-
Adriela Yanett Sanchez, PA-C
-
Navneet Kaur Dhaliwal, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240522004198 | CA | Part B Supplier - Clinic/Group Practice | 7315389376 |
Receives reassigned benefits from 5 practitioners Practice locations: Clovis, CA; Fresno, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2131 Herndon Ave Ste 103
Clovis, CA 93611-6304
Mailing address
685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233
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- Rebekah Anne Faccinto
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All providers in Clovis, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.