Organization Active NPI

Occupational Medical Associates Inc.

  • Adult Medicine Physician
  • Fresno, CA
National Provider Identifier
1366411092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A22525 Issued in CA
Legal business name
OCCUPATIONAL MEDICAL ASSOCIATES INC.
Practice address
5160 N Fresno St
102
Fresno, CA 93710-6825
Phone
(559) 320-2667
Fax
(559) 320-2069
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Donald Wendel, M.D.
Title
Ceo/Med Dir
Phone
(559) 320-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X A22525 CA Primary

Addresses

Primary practice location

5160 N Fresno St
102
Fresno, CA 93710-6825

Mailing address

5160 N Fresno St
102
Fresno, CA 93710-6825
Phone (559) 320-2667

National Provider Directory

National Provider Directory

Locations

5160 N Fresno St
Ste 102
Fresno, CA 93710
Phone (559) 320-2667

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366411092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 N FRESNO ST",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106825",
            "telephone_number": "559-320-2667",
            "fax_number": "559-320-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 N FRESNO ST",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106825",
            "telephone_number": "559-320-2667",
            "fax_number": "559-320-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO/MED DIR",
        "authorized_official_telephone_number": "559-320-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A22525",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.