Active NPI
Fresno Long Term Care Medical Group Inc.
- Geriatric Medicine (Internal Medicine) Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- FRESNO LONG TERM CARE MEDICAL GROUP INC.
- Practice address
- 5150 N 6TH St Ste 149
Fresno, CA 93710-7505 - Phone
- (559) 222-6500
- Fax
- (559) 222-6555
- NPI assigned
- Feb 16, 2007
- Last updated
- May 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asha Pritpal Singh Sidhu
- Title
- M.D.
- Phone
- (559) 222-6500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
5150 N 6TH St Ste 149
Fresno, CA 93710-7505
Mailing address
5150 N 6TH St Ste 149
Fresno, CA 93710-7505
Phone (559) 222-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2275139 | Fresno Long Term Care Medial Group Inc | Certificate of waiver | Jan 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
5150 N 6th St
Fresno, CA 93710
Phone (559) 269-6630
5150 N 6th St
Ste 149
Fresno, CA 93710
Phone (559) 222-6500
5359 N Fresno St
#104F
Fresno, CA 93710
Phone (559) 222-6500
5771 N Fresno St
Fresno, CA 93710
Phone (595) 272-1295
29424 Auberry Rd
Ste 111
Prather, CA 93651
Phone (559) 222-6500
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1255430286
-
- Family Nurse Practitioner
- Madera, CA
- NPI 1689401705
-
- Nurse Practitioner
- Fresno, CA
- NPI 1811617046
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1255020491
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1992234827
-
- Physician Assistant
- Fresno, CA
- NPI 1699823872
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1114399953
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1538854112
-
- Family Medicine Physician
- Fresno, CA
- NPI 1558517748
-
- Medical Physician Assistant
- Orosi, CA
- NPI 1871795161
-
- Medical Physician Assistant
- Mendota, CA
- NPI 1275553893
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1245783224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1801930599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 149",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107505",
"telephone_number": "559-222-6500",
"fax_number": "559-222-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 149",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107505",
"telephone_number": "559-222-6500",
"fax_number": "559-222-6555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESNO LONG TERM CARE MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "SIDHU",
"authorized_official_first_name": "ASHA PRITPAL",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "559-222-6500"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Fresno Inclusive Foundation
- Fresno Institute of Neuroscience, Inc
- Fresno Interdenominational Refugee Ministries
- Fresno Kinetic Bodyworks
- Fresno Kings Madera Regional Health Authority (CalViva Health)
- Fresno Medical Center Inc (N/a)
- Fresno Medical Supply, Inc.
- Fresno Medical Transportation, LLC
- Fresno Mental Psychological Health Services, P.C.
- Fresno Metropolitan Ministry (Fresno Metro Ministry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.