NPIMap

Organization Active NPI

Community Foundation Medical Group

Doing business as Sante' Foundation Medical Group

  • Surgery of the Hand (Plastic Surgery) Physician
  • Fresno, CA
National Provider Identifier
1346770294
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Doing business as
Sante' Foundation Medical Group
Practice address
7005 N Maple Ave Ste 108
Fresno, CA 93720-8009
Phone
(559) 325-3832
Fax
(559) 325-2603
NPI assigned
Jun 14, 2017
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY FOUNDATION MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mr. Scott B Wells
Title
Ceo/President
Phone
(559) 228-5429

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X Primary

Addresses

Primary practice location

7005 N Maple Ave Ste 108
Fresno, CA 93720-8009

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Other practice location 1

7370 N Palm Ave # 101
Fresno, CA 93711-5782
Phone (559) 228-5400

Other practice location 2

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205
Phone (559) 320-0531

Other names 1

  • Sante' Foundation Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200731002026 CA DME Supplier - Physician - Hand SurgeryDME Supplier - Physician - Plastic and Reconstructive Surgery 0345406294 Practice locations: Fresno, CA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Community FDTN Med GRP3 organizations share this tax ID, including this one
Part of
Community FDTN Med GRP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1346770294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3832",
            "fax_number": "559-325-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7370 N Palm Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937115782",
            "country_code": "US",
            "telephone_number": "559-228-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 N Magnolia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936119205",
            "country_code": "US",
            "telephone_number": "559-320-0531",
            "fax_number": "559-320-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY FOUNDATION MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY FOUNDATION MEDICAL GROUP",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "559-228-5429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sante' Foundation Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2022; 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.

Verify at the official NPI Registry.