Active NPI
Mohammed Sani Bukari, MD
- Hematology & Oncology Physician
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A150043
- Practice address
- 785 Medical Center Drive West
203
Clovis, CA 93611 - Phone
- (559) 387-1900
- Fax
- (559) 387-1950
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A150043 | CA | |
| Hematology & Oncology Physician | 207RH0003X | A150043 | CA | Primary |
Addresses
Primary practice location
785 Medical Center Drive West
203
Clovis, CA 93611
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
785 N Medical Ctr Dr W
Suite 203
Clovis, CA 93611-6878
Phone (559) 387-1900
Hospital & facility affiliations
- Community Home Care
- Clovis Community Medical Center
- Community Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150043 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Current | Accepting new patients | |
| Michigan Emergency Services | Current | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
785 N Medical Center Dr W
#203
Clovis, CA 93611
Phone (559) 387-1900
785 N Medical Center Dr W
Ste 203
Clovis, CA 93611
Phone (559) 387-1900
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864
2335 E Kashian Ln
Ste 230
Fresno, CA 93701
Phone (559) 321-2800
290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Medical Toxicology (Emergency Medicine) Physician
- Detroit, MI
- NPI 1316968191
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- Home Health Agency
- Fresno, CA
- NPI 1588745137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1487802385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 MEDICAL CENTER DRIVE WEST",
"address_2": "203",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93611",
"telephone_number": "559-387-1900",
"fax_number": "559-387-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKARI",
"first_name": "MOHAMMED",
"middle_name": "SANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A150043",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A150043",
"primary": true
}
],
"identifiers": [],
"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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.