NPIMap

Organization Active NPI

Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
National Provider Identifier
1700518438
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 724-4102
NPI assigned
Jun 30, 2022
Organization subpart
Yes
Parent organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Craig Allen Wagoner
Title
Ceo
Phone
(559) 324-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6413

Other names 1

  • FRESNO COMMUNITY ECHO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000251 CA Part B Supplier - Clinic/Group Practice 3173430865 Receives reassigned benefits from 122 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clovis, CA; Fresno, CA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fresno Community Hospital

Locations

688 N Medical Center Dr E
Ste 104
Clovis, CA 93611
Phone (559) 299-2200

785 N Medical Center Dr W
Ste 305
Clovis, CA 93611
Phone (559) 387-1818

729 N Medical Center Dr W
Ste 121
Clovis, CA 93611
Phone (559) 324-4057

785 N Medical Center Dr W
Ste 201
Clovis, CA 93611
Phone (559) 387-1600

785 N Medical Center Dr W
Ste 102
Clovis, CA 93611
Phone (559) 387-1700

685 N Medical Center Dr W
Ste 105
Clovis, CA 93611
Phone (559) 324-4030

30 E River Park Pl W
Ste 340
Fresno, CA 93720
Phone (559) 459-1700

1925 E Dakota Ave
Ste 102
Fresno, CA 93726
Phone (559) 459-1558

290 N Wayte Ln
Ste 1400
Fresno, CA 93701
Phone (559) 459-4085

2210 E Illinois Ave
Ste 106
Fresno, CA 93701
Phone (559) 459-6520

1925 E Dakota Ave
Ste 111
Fresno, CA 93726
Phone (559) 459-1763

1925 E Dakota Ave
Ste 208
Fresno, CA 93726
Phone (559) 459-1615

2335 E Kashian Ln
Ste 110
Fresno, CA 93701
Phone (559) 459-3501

2335 E Kashian Ln
Ste 301A
Fresno, CA 93701
Phone (559) 459-6082

215 N Fresno St
Ste 250
Fresno, CA 93701
Phone (559) 459-1842

285 N Fresno St
Fresno, CA 93701
Phone (559) 459-1672

2335 E Kashian Ln
Ste 150
Fresno, CA 93701
Phone (559) 459-2771

215 N Fresno St
Ste 230
Fresno, CA 93701
Phone (559) 459-1763

2315 E Illinois Ave
Fresno, CA 93701
Phone (559) 459-4243

4460 E Huntington Ave
Fresno, CA 93702
Phone (559) 459-2220

48677 Victoria Ln
Ste 210
Oakhurst, CA 93644
Phone (559) 683-2711

Practitioners & affiliated clinicians

Practitioners 124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1700518438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-724-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-324-4266"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESNO COMMUNITY ECHO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FRESNO COMMUNITY ECHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.