Individual provider Active NPI

Caroline Render-Teixeira, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1194389205
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C161933 Issued in CA
Practice address
290 N Wayte LN # 2100
Fresno, CA 93701-2124
Phone
(866) 342-6012
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C161933 CA Primary

Addresses

Primary practice location

290 N Wayte LN # 2100
Fresno, CA 93701-2124

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

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
I20200610001577 CA Practitioner - Family Practice 3173944592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians
Camarena HealthGroup PAC ID 4880584317, 79 clinicians

Practice addresses (Care Compare)

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

720 E Almond Ave
Madera, CA 93637-5691
Phone (559) 664-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C161933CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Apr 1, 2020 Accepting new patients
Camarena Health CurrentSince Apr 1, 2020 Accepting new patients
Clinica Sierra Vista CurrentSince Mar 10, 2025 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Mar 10, 2025 Accepting new patients
Camarena Health Family Medicine Current Accepting new patients

Locations

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: caroline.render-teixeira.1@17661.direct.athenahealth.com
  • Direct secure messaging: crenderteixeira27296@clinicasierravista.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1194389205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N WAYTE LN # 2100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012124",
            "telephone_number": "866-342-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDER-TEIXEIRA",
        "first_name": "CAROLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C161933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.