NPIMap

Organization Active NPI

Fresno Community Hospital and Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clovis, CA
National Provider Identifier
1497836613
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
040000096 Issued in CA
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Practice address
501 N. Medical Center Drive East
Suite 1100
Clovis, CA 93611
Phone
(559) 324-4030
Fax
(559) 324-3748
NPI assigned
Oct 17, 2006
Organization subpart
Yes
Parent organization
COMMUNITY REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Mr. Craig Stanley Castro
Title
Ceo
Phone
(559) 324-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 040000096 CA Primary

Addresses

Primary practice location

501 N. Medical Center Drive East
Suite 1100
Clovis, CA 93611

Mailing address

501 N. Medical Center Drive East
Suite 1100
Clovis, CA 93611
Phone (559) 324-4030

Other names 1

  • Community Dialysis Center-Clovis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

End-stage renal disease facility certification: CCN 053529

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY DIALYSIS CENTER-CLOVIS
Certification status
Active
Provider type (POS)
End-stage renal disease facility
Participating since
Jun 15, 2020
Last certification
Jun 15, 2020
Ownership / control type
Not for Profit
Facility address
501 N Medical Center Drive East Suite 1100
Clovis, CA 93611

National Provider Directory

National Provider Directory
Part of
Fresno Community Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

501 N Medical Center Dr E
Ste 1100
Clovis, CA 93611
Phone (559) 324-4030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1497836613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N. MEDICAL CENTER DRIVE EAST",
            "address_2": "SUITE 1100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "559-324-4030",
            "fax_number": "559-324-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N. MEDICAL CENTER DRIVE EAST",
            "address_2": "SUITE 1100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "559-324-4030",
            "fax_number": "559-324-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-324-4884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "040000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dialysis Center-Clovis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Dialysis Center-Clovis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.