Palm Medical Group, Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

FNP22936 Issued in CA

Legal business name

PALM MEDICAL GROUP, INC

Practice address

222 W Shaw Ave
Fresno, CA 93704-2644

Phone

(559) 222-9200

Fax

(559) 222-9201

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Su Rosenthal

Title

Manager

Phone

(559) 222-9200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225178809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042644",
            "telephone_number": "559-222-9200",
            "fax_number": "559-222-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042644",
            "telephone_number": "559-222-9200",
            "fax_number": "559-222-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "SU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-222-9200"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "FNP22936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTIOUS NAME PERMIT",
            "identifier": "FNP22936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Marie Pallares, MSW
• Meliton V. Pallares Jr., RN
• Veronica Pallaya
• Palm Bluffs Dental Group, Inc. Practice of Dr. Prieto
• Palm Bluffs Surgery Center LLC
• Candelaria Palma
• Jolina Ruth Ramona Palma
• Raul Palma, MSW
• Cameron Nathaniel Palmer
• Kaden Palmer

• Occupational Medicine Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.