Individual provider Active NPI

Ernest Yamamoto, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1396730529
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87076 Issued in CA
Practice address
1570 E Herndon Ave
Fresno, CA 93720-3303
Phone
(559) 603-7400
Fax
(559) 603-7242
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A87076 CA Primary

Addresses

Primary practice location

1570 E Herndon Ave
Fresno, CA 93720-3303

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A870761MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001165 CA Practitioner - Family Practice 8224098736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

1570 E Herndon Ave
Fresno, CA 93720-3303
Phone (559) 603-7241

2335 E Kashian LN
Fresno, CA 93701-2234

7355 N Palm Ave
Fresno, CA 93711-5770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87076CAMDFamily Medicine Physician
87076CAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Health Partners CurrentSince Jun 30, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Marvin P Matlock M D Inc Past Accepting new patients

Locations

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

275 W Herndon Ave
Clovis, CA 93612
Phone (559) 321-4255

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

560 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 437-7311

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1396730529",
    "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": "1570 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203303",
            "telephone_number": "559-603-7400",
            "fax_number": "559-603-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "ERNEST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A870761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.