Organization Active NPI

Pure Infusion Medical Services, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Fresno, CA
National Provider Identifier
1780539692
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE INFUSION MEDICAL SERVICES, A MEDICAL CORPORATION
Practice address
660 W Locust Ave Ste 103
Fresno, CA 93650-1094
Phone
(559) 500-0910
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Rachel Fraga
Title
VP of Payer Development
Phone
(801) 590-9267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

660 W Locust Ave Ste 103
Fresno, CA 93650-1094

Mailing address

75 W Towne Ridge Pkwy Ste 500
Sandy, UT 84070-5531
Phone (801) 590-9267

Other practice location 1

151 N Sunrise Ave Ste 1203
Roseville, CA 95661-2932
Phone (916) 850-2559

Other practice location 2

2321 W March Ln Ste 100
Stockton, CA 95207-5278
Phone (209) 921-3895

Other practice location 3

2510 Webster St
Berkeley, CA 94705-2557
Phone (888) 209-8874

Other practice location 4

2915 Telegraph Ave Ste 304
Berkeley, CA 94705-2030
Phone (888) 209-8874

Other practice location 5

150 N Robertson Blvd Ste 206
Beverly Hills, CA 90211-2144
Phone (888) 209-8874

Other practice location 6

1580 W El Camino Real Ste 5
Mountain View, CA 94040-2461
Phone (888) 209-8874

Other practice location 7

2331A Montpelier Dr Ste 20
San Jose, CA 95116-1614
Phone (888) 209-8874

Other practice location 8

2001 Santa Monica Blvd Ste 1160W
Santa Monica, CA 90404-2120
Phone (888) 209-8874

Other practice location 9

4849 Van Nuys Blvd Ste 211
Sherman Oaks, CA 91403-2127
Phone (888) 209-8874

Other practice location 10

435 Arden Ave Ste 460
Glendale, CA 91203-1139
Phone (888) 209-8874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521003429 CA Part B Supplier - Clinic/Group Practice 4486124211 Receives reassigned benefits from 3 practitioners
Practice locations: Beverly Hills, CA; Stockton, CA; Sherman Oaks, CA; Santa Monica, CA; San Jose, CA; Roseville, CA; Mountain View, CA; Glendale, CA…

National Provider Directory

National Provider Directory

Locations

660 W Locust Ave
Ste 103
Fresno, CA 93650
Phone (559) 500-0910

435 Arden Ave
Ste 460
Glendale, CA 91203
Phone (818) 243-1187

75 W Towne Ridge Pkwy
Ste 500
Sandy, UT 84070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1780539692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W TOWNE RIDGE PKWY STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705531",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W LOCUST AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936501094",
            "telephone_number": "559-500-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Sunrise Ave Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612932",
            "country_code": "US",
            "telephone_number": "916-850-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2321 W March Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075278",
            "country_code": "US",
            "telephone_number": "209-921-3895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Webster St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052557",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2915 Telegraph Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052030",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Robertson Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112144",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 W El Camino Real Ste 5",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402461",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2331A Montpelier Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161614",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Santa Monica Blvd Ste 1160W",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042120",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4849 Van Nuys Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032127",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Arden Ave Ste 460",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031139",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE INFUSION MEDICAL SERVICES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "VP OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "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 Mar 4, 2026; 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.