University Faculty Associates, Inc.
Organization Active NPI Emergency Medicine Physician · Fresno, CA
NPI 1235537283 · NPPES record last updated Sep 4, 2015
Key facts
- NPI
- 1235537283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- UNIVERSITY FACULTY ASSOCIATES, INC.
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 443-2682
- Fax
- (559) 443-2681
- NPI assigned
- Dec 8, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY FACULTY ASSOCIATES, INC.
Authorized official
- Name
- Dr. Randall Gordon Stern, MD
- Title
- President
- Phone
- (559) 443-2682
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Practitioners 245
-
Hagop Manuel Afarian, M.D.
-
Erin N. Anderson, NP
-
James E Andrews, MD
-
Patil Armenian, MD
-
Leah Bauer, MD, MPH
-
Jordan L Beshore, D.O.
-
Brian William Blake, M.D.
-
Tamara Carpenter, FNP
-
Brian Farr Chinnock, M.D.
-
James A Comes, MD
-
Michael A. Darracq, M.D.
-
Scott S Deshields, M.D.
-
Gregory Gaskin, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150211000164 | CA | Part B Supplier - Clinic/Group Practice | 6507181708 |
Receives reassigned benefits from 364 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Selma, CA; Fresno, CA; Clovis, CA |
National Provider Directory
- Part of
- University Faculty Assoc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Other providers in Fresno, CA
- Universal Consultants Services LLC
- Universal Health Network and Systems, Inc.
- Universal Health Network and Systems, Inc.
- University Faculty Associates , Inc.
- University Faculty Associates, Inc.
- University High School Charter
- University Medical Supply
- University of California San Francisco Fresno
- University Oncology Associates, Inc.
- Caitlin Marie Unruh
All providers in Fresno, CA · Emergency 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 Sep 4, 2015. 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.