NPIMap

Organization Active NPI

Family Wellness Clinic

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1396173829
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A95909 Issued in CA
Legal business name
FAMILY WELLNESS CLINIC
Practice address
3152 N Millbrook Ave
Suite C
Fresno, CA 93703-1400
Phone
(559) 884-5540
Fax
(559) 884-5540
NPI assigned
Oct 18, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. San Anwar Fahmy Gabriel, M.DNPI 1922025857
Title
Owner
Phone
(559) 708-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X A95909 CA
Primary Care Clinic/Center 261QP2300X A95909 CA Primary

Addresses

Primary practice location

3152 N Millbrook Ave
Suite C
Fresno, CA 93703-1400

Mailing address

3152 N Millbrook Ave
Suite C
Fresno, CA 93703-1400
Phone (559) 884-5540

National Provider Directory

National Provider Directory

Locations

3152 N Millbrook Ave
Ste C
Fresno, CA 93703
Phone (559) 222-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1396173829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE",
            "address_2": "SUITE C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031400",
            "telephone_number": "559-884-5540",
            "fax_number": "559-884-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE",
            "address_2": "SUITE C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031400",
            "telephone_number": "559-884-5540",
            "fax_number": "559-884-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "SAN",
        "authorized_official_middle_name": "ANWAR FAHMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-708-0837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "A95909",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A95909",
            "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 Oct 18, 2013; 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.