Organization Active NPI

California Integrative Healthcare a Medical Corporation

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1750737953
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CALIFORNIA INTEGRATIVE HEALTHCARE A MEDICAL CORPORATION
Practice address
1180 E Shaw Ave Ste 101
Fresno, CA 93710-7812
Phone
(559) 389-0622
Fax
(559) 389-7809
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Sonal Patel, NDNPI 1831426451
Title
Owner
Phone
(559) 455-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1180 E Shaw Ave Ste 101
Fresno, CA 93710-7812

Mailing address

373 E Shaw Ave Ste 332
Fresno, CA 93710-7609
Phone (559) 389-0622

Other practice location 1

1180 E Shaw Ave Ste 101
Fresno, CA 93710-7812
Phone (559) 389-0622

Other practice location 2

55 Shaw Ave Ste 212
Clovis, CA 93612-3819
Phone (559) 392-0241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220002404 CA Part B Supplier - Clinic/Group Practice 3173804663 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

55 Shaw Ave
Ste 212
Clovis, CA 93612
Phone (559) 392-0241

5765 N Fresno St
Fresno, CA 93710

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1750737953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E SHAW AVE STE 332",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107609",
            "telephone_number": "559-389-0622",
            "fax_number": "559-389-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E SHAW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107812",
            "telephone_number": "559-389-0622",
            "fax_number": "559-389-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 E Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107812",
            "country_code": "US",
            "telephone_number": "559-389-0622",
            "fax_number": "559-389-7809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Shaw Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123819",
            "country_code": "US",
            "telephone_number": "559-392-0241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA INTEGRATIVE HEALTHCARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-455-4707",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Nov 15, 2018; 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.