Impact Medical Group

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

A43177 Issued in CA

Legal business name

IMPACT MEDICAL GROUP

Practice address

5261 E Kings Canyon Rd
Suite 107
Fresno, CA 93727-4028

Phone

(559) 452-1000

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ifeatu Ekelem, M.D

Title

Proprietor

Phone

(559) 452-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396879706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 E KINGS CANYON RD",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274028",
            "telephone_number": "559-452-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 E KINGS CANYON RD",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274028",
            "telephone_number": "559-452-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKELEM",
        "authorized_official_first_name": "IFEATU",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "559-452-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "A43177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joselio Giles Legaspi Imperial Jr.
• Ylamher Claire Bufi Imperial
• Rabbia Imran, MD

• Personal Emergency Response Attendant in Fresno, CA
• Providers in Fresno, CA by specialty
• Personal Emergency Response Attendant in California

• 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.