NPIMap

Organization Active NPI

Long Term Care Medical Group, Inc

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1356479877
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00G647490 Issued in CA
Legal business name
LONG TERM CARE MEDICAL GROUP, INC
Practice address
685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone
(559) 499-1233
Fax
(559) 499-1232
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Stephen Michael Grossman, M.D.NPI 1942220926
Title
President
Phone
(559) 499-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 00G647490 CA Primary

Addresses

Primary practice location

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779

Mailing address

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000464 CA Part B Supplier - Clinic/Group Practice 9032016068 Receives reassigned benefits from 79 practitioners
Practice locations: Fresno, CA; Hanford, CA; Madera, CA; Palm Desert, CA; Rancho Mirage, CA; Reedley, CA; Selma, CA; Templeton, CA…

National Provider Directory

National Provider Directory

Locations

1212 Farroll Ave
Arroyo Grande, CA 93420
Phone (805) 489-8137

5756 N Marks Ave
Ste 163
Fresno, CA 93711
Phone (559) 307-3828

2121 N 1st St
Fresno, CA 93703
Phone (559) 237-2257

2020 N Weber Ave
Fresno, CA 93705
Phone (559) 264-0535

3220 S Higuera St
San Luis Obispo, CA 93401
Phone (820) 777-5251

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1356479877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-499-1233",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00G647490",
            "primary": true
        }
    ],
    "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 3, 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.

Verify at the official NPI Registry.