NPIMap

Organization Active NPI

Medical Groups of Downtown Fresno

  • Health Maintenance Organization
  • Fresno, CA
National Provider Identifier
1629334438
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G53062 Issued in CA
Legal business name
MEDICAL GROUPS OF DOWNTOWN FRESNO
Practice address
2841 Tulare St
Fresno, CA 93721-1320
Phone
(559) 284-7790
Fax
(559) 323-1857
NPI assigned
Apr 5, 2012
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Jeffrey Fay Moy, MD
Title
Ceo
Phone
(916) 806-9778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X G53062 CA Primary

Addresses

Primary practice location

2841 Tulare St
Fresno, CA 93721-1320

Mailing address

2841 Tulare St
Fresno, CA 93721-1320
Phone (559) 284-7790

Other identifiers 1

IdentifierTypeStateIssuer
3447764OtherCACORPORATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1629334438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211320",
            "telephone_number": "559-284-7790",
            "fax_number": "559-323-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211320",
            "telephone_number": "559-284-7790",
            "fax_number": "559-323-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUPS OF DOWNTOWN FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-806-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G53062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "3447764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.