NPIMap

Individual provider Active NPI

David Wayne Cardona, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1265466759
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69949 Issued in CA
Practice address
1300 N Fresno St
Suite #220
Fresno, CA 93703-3843
Phone
(559) 495-6758
Fax
(559) 495-6788
NPI assigned
Jul 10, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 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 G69949 CA Primary

Addresses

Primary practice location

1300 N Fresno St
Suite #220
Fresno, CA 93703-3843

Mailing address

1300 N Fresno St
Ste 220
Fresno, CA 93703-3843
Phone (559) 495-6745

Other practice location 1

1204 W Shaw Ave # 102
Fresno, CA 93711-3706
Phone (559) 681-1947

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
I20060307000480 CA Practitioner - Family Practice 7618984238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Providers Medical Group IncGroup PAC ID 4587611637, 2 clinicians

Practice addresses (Care Compare)

1300 N Fresno St
Suite 220
Fresno, CA 93703-3843
Phone (559) 495-6758

7455 N Fresno St
Suite 200
Fresno, CA 93720-2481
Phone (559) 513-1506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69949CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Providers Medical Group Inc Family Medicine CurrentSince Oct 1, 1994 Accepting new patients
Fargo Meds a Medical Corporation CurrentSince Mar 22, 2025 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Central California Recovery Past Accepting new patients
Universal Biopharma Research Institute Inc PastSince Jan 1, 2013 Accepting new patients
Central California Faculty Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

1300 N Fresno St
Fresno, CA 93703
Phone (559) 495-6758

1300 N Fresno St
Fl 3
Fresno, CA 93703

1300 N Fresno St
Ste 220
Fresno, CA 93703
Phone (209) 495-6702

7455 N Fresno St
Ste 200
Fresno, CA 93720
Phone (559) 513-1506

12340 Santa Monica Blvd
Ste 300302
Los Angeles, CA 90025

Organizations & group practices 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1265466759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N FRESNO ST",
            "address_2": "STE 220",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033843",
            "telephone_number": "559-495-6745",
            "fax_number": "559-495-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N FRESNO ST",
            "address_2": "SUITE #220",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033843",
            "telephone_number": "559-495-6758",
            "fax_number": "559-495-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 W Shaw Ave # 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113706",
            "country_code": "US",
            "telephone_number": "559-681-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.