Active NPI
Spruce Multispeciatly Group
- Internal Medicine Physician
- Fresno, CA
National Provider Identifier
1346375136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G48359
- Legal business name
- SPRUCE MULTISPECIATLY GROUP
- Practice address
- 1275 E Spruce Ave
Suite 101
Fresno, CA 93720-3345 - Phone
- (559) 226-0848
- Fax
- (559) 248-9585
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Cordova
- Title
- Office Supervisor
- Phone
- (559) 226-0848
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G48359 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A43475 | CA | |
| Internal Medicine Physician | 207R00000X | A29316 | CA | |
| Internal Medicine Physician | 207R00000X | A79525 | CA | |
| Gastroenterology Physician | 207RG0100X | G36222 | CA | |
| Neurology Physician | 2084N0400X | G32784 | CA |
Addresses
Primary practice location
1275 E Spruce Ave
Suite 101
Fresno, CA 93720-3345
Mailing address
7015 N Chestnut Ave Ste 101
Fresno, CA 93720-0349
Phone (559) 226-0848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0099780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041207000612 | CA | Part B Supplier - Clinic/Group Practice | 4082670419 |
Receives reassigned benefits from 7 practitioners Practice locations: Fresno, CA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61163
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1336287440
CA, Internal Medicine
-
- Gastroenterology Physician
- Fresno, CA
- NPI 1437114113
CA, Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1346375136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 N CHESTNUT AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200349",
"telephone_number": "559-226-0848",
"fax_number": "559-248-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 E SPRUCE AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203345",
"telephone_number": "559-226-0848",
"fax_number": "559-248-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRUCE MULTISPECIATLY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "CORDOVA",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OFFICE SUPERVISOR",
"authorized_official_telephone_number": "559-226-0848",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G48359",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A43475",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A29316",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A79525",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G36222",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G32784",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0099780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Spot on Speech Therapy Collective PC
- Leslie Ann Elba Spraetz
- Kathleen Marie Spriggs-Ballestero, LICENSED MARRIAGE FA
- Nathan Sprinkman, RN
- Spruce Ambulatory Surgery Center LLC
- Kevin Joseph Spruce, DNP, FNP-C
- Kevin K Spuhler, CRNA
- Carrie Lynn Spurgeon I
- Christine Mona Squire, LMFT
- Jerry Pat Squire III
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.