Fresno Community Hospital and Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000096 Issued in CA

Legal business name

FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Practice address

3003 N Mariposa St
Fresno, CA 93703-1127

Phone

(559) 459-1711

Fax

(559) 459-1799

NPI assigned

Oct 17, 2006

Organization subpart

Yes

Parent organization

COMMUNITY REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Craig Allen Wagoner

Title

Ceo

Phone

(559) 324-4266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Subacute and Transitional Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055258

Legal name

FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Doing business as

COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 1, 1967

Last certification

Aug 30, 2024

Beds

106

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 13, 1945 in CA

Enrollment address

3003 N Mariposa St
Fresno, CA 93703-1127

Nursing home name

COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569

  3173430865

  Same PAC ID
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709

  3173430865

  Same PAC ID
• Fresno Community Hospital and Medical Center

  • Home Health Agency
  • Fresno, CA
  • NPI 1588745137

  3173430865

  Same PAC ID
• Fresno Community Hospital and Medical Center

  • Rehabilitation Hospital Unit
  • Fresno, CA
  • NPI 1679654404

  3173430865

  Same PAC ID
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1710151881

  3173430865

  Same PAC ID
• Fresno Community Hospital and Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fresno, CA
  • NPI 1821179656

  3173430865

  Same PAC ID

Listed as

Community Subacute and Transitional Care CenterCCN 055258

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10697.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Part of

Fresno Community Hospital

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Keith B Boone, MD

  • Surgery Physician
  • Fresno, CA
  • NPI 1265495139

  Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Gregory Lee Copeland, DO

  • Family Medicine Physician
  • Clovis, CA
  • NPI 1154528123

  Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Stephen Michael Grossman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fresno, CA
  • NPI 1942220926

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Wagih William Ibrahim, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1518152867

  Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Chandrasekar Venugopal, MD

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1972679959

  Adp of the SNF, Corporate Director, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569

  Community Hospitals of Central California

  CMS ownership
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709

  Community Hospitals of Central California

  CMS ownership
• Fresno Community Hospital and Medical Center

  • Home Health Agency
  • Fresno, CA
  • NPI 1588745137

  Community Hospitals of Central California

  CMS ownership
• Fresno Community Hospital and Medical Center

  • Rehabilitation Hospital Unit
  • Fresno, CA
  • NPI 1679654404

  Community Hospitals of Central California

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Regional Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1447414800
  NPPES parent name

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Armen Hovhannes Bedrosian, M.D.

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1356725329

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1295816569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-1711",
            "fax_number": "559-459-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N MARIPOSA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031127",
            "telephone_number": "559-459-1711",
            "fax_number": "559-459-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-324-4266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05258G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Subacute and Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Subacute and Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fresno Community Hospice Care Inc
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.