NPIMap

Individual provider Active NPI

Robert M Futoran, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Clovis, CA
National Provider Identifier
1184661027
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G70323 Issued in CA
Practice address
305 Park Creek Dr
Clovis, CA 93611-4426
Phone
(559) 326-2815
Fax
(559) 326-2801
NPI assigned
May 31, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G70323 CA Primary

Addresses

Primary practice location

305 Park Creek Dr
Clovis, CA 93611-4426

Mailing address

PO Box 2130
Clovis, CA 93613-2130
Phone (559) 326-2815

Other identifiers 2

IdentifierTypeStateIssuer
220019994OtherRAILROAD MEDICARE
00G703230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000657 CA Practitioner - Pathology 1951304708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Chicago College of Medicine and Surgery, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology AssociatesGroup PAC ID 9133168784, 16 clinicians

Practice addresses (Care Compare)

305 Park Creek Dr
Clovis, CA 93611-4426
Phone (559) 326-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70323CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Pathology Laboratory Inc Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Crawford & Reiber Medical Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

305 Park Creek Dr
Clovis, CA 93611
Phone (559) 326-2800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1184661027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936132130",
            "telephone_number": "559-326-2815",
            "fax_number": "559-328-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARK CREEK DR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114426",
            "telephone_number": "559-326-2815",
            "fax_number": "559-326-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTORAN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G70323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220019994",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G703230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.