Active NPI
Abdul Khaliq Alcozie
- Internal Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A191705
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 603-7378
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A191705 | CA | Primary |
| Family Medicine Physician | 207Q00000X | A191705 | CA |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
45 E River Park PL W FL 5
Fresno, CA 93720-1562
Phone (559) 603-7378
Other practice location 1
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 603-7300
Other practice location 2
15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
Hospital & facility affiliations
- Clovis Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191705 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Single Specialty | Current | Accepting new patients |
| Ozark Valley Medical Clinic, LLC | Family Medicine | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Ozark, MO
- NPI 1639686850
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1306406277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E RIVER PARK PL W FL 5",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201562",
"telephone_number": "559-603-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-603-7378"
}
],
"practiceLocations": [
{
"address_1": "2755 Herndon Ave",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936116800",
"country_code": "US",
"telephone_number": "559-603-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 E Audubon Dr",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937201542",
"country_code": "US",
"telephone_number": "559-433-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALCOZIE",
"first_name": "ABDUL KHALIQ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A191705",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A191705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.