Active NPI
Denard Manuel Fobbs Sr., M.D.
- Gynecology Physician
- Fresno, CA
National Provider Identifier
1184769879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C38922
- Practice address
- 5339 N Fresno St Ste 105E
Fresno, CA 93710-6851 - Phone
- (559) 225-7600
- Fax
- (559) 225-2472
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C38922 | CA | Primary |
Addresses
Primary practice location
5339 N Fresno St Ste 105E
Fresno, CA 93710-6851
Mailing address
PO Box 26990
Fresno, CA 93729-6990
Phone (559) 225-7600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056972 | Other | CA | DRS' CO. MALPRACTICE INS. |
| 2637617 | Medicaid | CA | |
| E8471 | Other | TX | TEXAS LICENSE NUMBER |
| C38922 | Other | CA | CALIF. LICENSE NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120418000196 | CA | Practitioner - Obstetrics/Gynecology | 1456512474 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Howard University College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7455 N Fresno St
Suite 202
Fresno, CA 93720-2481
Phone (559) 225-7600
Hospital & facility affiliations
- Clovis Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38922 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184769879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26990",
"city": "FRESNO",
"state": "CA",
"postal_code": "937296990",
"telephone_number": "559-225-7600",
"fax_number": "559-225-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5339 N FRESNO ST STE 105E",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106851",
"telephone_number": "559-225-7600",
"fax_number": "559-225-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOBBS",
"first_name": "DENARD",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "C38922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRS' CO. MALPRACTICE INS.",
"identifier": "0056972",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2637617",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE NUMBER",
"identifier": "E8471",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF. LICENSE NUMBER",
"identifier": "C38922",
"state": "CA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.