NPIMap

Organization Active NPI

Fresno Imaging Center Medical Group

  • Diagnostic Radiology Physician
  • Clovis, CA
National Provider Identifier
1427079581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FRESNO IMAGING CENTER MEDICAL GROUP
Practice address
231 W Fir Ave
Clovis, CA 93611-0220
Phone
(559) 297-0300
Fax
(559) 323-5461
NPI assigned
Jul 22, 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. Mark David Alson, M.D.NPI 1063418028
Title
President
Phone
(559) 297-0300

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

231 W Fir Ave
Clovis, CA 93611-0220

Mailing address

231 W Fir Ave
Clovis, CA 93611-0220
Phone (559) 297-0300

Other identifiers 1

IdentifierTypeStateIssuer
GR0022771MedicaidCA

National Provider Directory

National Provider Directory

Locations

6177 N Thesta St
Fresno, CA 93710
Phone (209) 435-1900

Practitioners & affiliated clinicians

Practitioners 10

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427079581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO IMAGING CENTER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-297-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, 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.