Active NPI
Rendoll Concepcion, MD
- Surgery Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A39752
- Practice address
- 1885 E Alluvial
#101
Fresno, CA 93710 - Phone
- (559) 298-9031
- Fax
- (559) 298-9061
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A39752 | CA | Primary |
Addresses
Primary practice location
1885 E Alluvial
#101
Fresno, CA 93710
Mailing address
1855 E Alluvial Ave
Ste 103
Fresno, CA 93720-3854
Phone (559) 253-2800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1855 E Alluvial Ave
Suite 103
Fresno, CA 93720-3854
Phone (559) 298-3032
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 16 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39752 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rendoll Concepcion M.D, Inc | Surgery | Current | Accepting new patients |
| Jose U. Zamora, II, M.D., a Medical Corporation | Surgery | Past | Accepting new patients |
| North Point Surgery Center, Inc | Past | Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients |
Locations
1885 E Alluvial Ave
Ste 101
Fresno, CA 93720
Phone (559) 298-9032
1855 E Alluvial Ave
Ste 103
Fresno, CA 93720
Phone (559) 253-2800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Fresno, CA
- NPI 1568561165
-
- Surgery Physician
- Fresno, CA
- NPI 1255493763
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1760518609
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Family Health Services Rural Health Clinic
- General Acute Care Hospital
- Madera, CA
- NPI 1669673646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1669498655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 E ALLUVIAL AVE",
"address_2": "STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203854",
"telephone_number": "559-253-2800",
"fax_number": "559-298-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 E ALLUVIAL",
"address_2": "#101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-298-9031",
"fax_number": "559-298-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "RENDOLL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A39752",
"primary": true
}
],
"identifiers": [],
"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 Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.