Individual provider Active NPI

Mohammed Sani Bukari, MD

  • Hematology & Oncology Physician
  • Clovis, CA
National Provider Identifier
1487802385
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A150043 Issued in CA
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

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150430000608 MI Practitioner - Internal Medicine 1254597131 Reassigns benefits to 1 organization
I20170831001219 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1254597131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2005
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)

785 N Medical Ctr Dr W
Suite 203
Clovis, CA 93611-6878
Phone (559) 387-1900

Hospital & facility affiliations

  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150043CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients
Michigan Emergency Services CurrentSince Mar 18, 2015 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.