Michael S. Stubblefield, MD. Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A34392 Issued in CA

Legal business name

MICHAEL S. STUBBLEFIELD, MD. INC.

Practice address

6089 N 1St St Ste 104
Fresno, CA 93710-5464

Phone

(559) 439-3300

Fax

(559) 439-2707

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Tracy Beberian

Title

Manager

Phone

(559) 253-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1578887840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28915",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298915",
            "telephone_number": "559-253-2800",
            "fax_number": "559-253-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6089 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105464",
            "telephone_number": "559-439-3300",
            "fax_number": "559-439-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. STUBBLEFIELD, MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BEBERIAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-253-2800"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A34392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.