Individual provider Active NPI

Richard Berquist, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1588659718
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G42513 Issued in CA
Practice address
560 E Herndon Ave # 201
Fresno, CA 93720-2907
Phone
(559) 437-7380
Fax
(559) 437-7162
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G42513 CA Primary

Addresses

Primary practice location

560 E Herndon Ave # 201
Fresno, CA 93720-2907

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Other identifiers 1

IdentifierTypeStateIssuer
00G425130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000300 CA Practitioner - Family Practice 6002910635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

560 E Herndon Ave
Suite 201
Fresno, CA 93720-2907
Phone (559) 437-7311

7355 N Palm Ave
Fresno, CA 93711-5770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5257CAMDFamily Medicine Physician
G42513CAMDFamily Medicine Physician
42513CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Hospitalist Medical Group Inc. Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

560 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 437-7311

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

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 6

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1588659718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E HERNDON AVE # 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202907",
            "telephone_number": "559-437-7380",
            "fax_number": "559-437-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERQUIST",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G425130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.