Organization Active NPI

Fresno Long Term Care Medical Group Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fresno, CA
National Provider Identifier
1801930599
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Asha Pritpal Singh SidhuNPI 1255430286
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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040305000673 CA Part B Supplier - Clinic/Group Practice 2163310749 Receives reassigned benefits from 10 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2275139Fresno Long Term Care Medial Group Inc5150 N 6TH Street #149, Fresno, CA 93710Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

35324 Highway 41
Ste A
Coarsegold, CA 93614
Phone (559) 222-6500

5359 N Fresno St
Ste 108F
Fresno, CA 93710
Phone (559) 227-1663

5150 N 6th St
Ste 149
Fresno, CA 93710
Phone (559) 222-6500

1717 S Winery Ave
Fresno, CA 93727
Phone (559) 251-8417

5359 N Fresno St
#104F
Fresno, CA 93710
Phone (559) 222-6500

5150 N 6th St
Fresno, CA 93710
Phone (559) 269-6630

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.

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

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.

Verify at the official NPI Registry.