UCSF Fresno Medical Group

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY19509 Issued in CA

Legal business name

UCSF FRESNO MEDICAL GROUP

Practice address

3313 N Hilliard St
Fresno, CA 93726-5854

Phone

(559) 227-4810

Fax

(559) 227-4167

NPI assigned

Jan 3, 2008

Organization subpart

Yes

Parent organization

UNIVERSITY OF CALIFORNIAAs reported in NPPES

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

Authorized official

Name

Dr. Joan Voris, MEDICAL DOCTOR

Title

Assoicate Dean

Phone

(559) 499-6427

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• UCSF Fresno Allied Medical Group Other name

Tax ID family

Regents of University of California2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regents of University of California

  dba UCSF-Fresno Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1659419638
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Jean Hewett, PSY.D.

  • Clinical Neuropsychologist
  • Fresno, CA
  • NPI 1871519587
  NPD (past)
• Michele C Russell, PH.D.

  • Clinical Neuropsychologist
  • Fresno, CA
  • NPI 1881614519
  NPD (past)
• Deborah Claire Stewart, M.D.

  • General Practice Physician
  • Sacramento, CA
  • NPI 1437196151
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1487839932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 740522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "559-227-4810",
            "fax_number": "559-227-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 N HILLIARD ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265854",
            "telephone_number": "559-227-4810",
            "fax_number": "559-227-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSF FRESNO MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2008-01-03",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "VORIS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "ASSOICATE DEAN",
        "authorized_official_telephone_number": "559-499-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19509",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "20822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5696",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE OF CA",
            "identifier": "ZZZ5296Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "9151935",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342434",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001380",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091021",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821014374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Fresno Allied Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Tzinzun Garcia
• Ifeoma Amalachukwu Ubadike, NP
• Nirvana Getzemany Ubera
• UCSF
• UCSF Fresno
• UCSF Internal Medicine Program (Community Regional Medical Centers)
• UCSF Pediatrics
• UCSF-Fresno
• Catherine Udave Ramirez
• Halli Uehling, FNP

• Clinical Neuropsychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.