NPIMap

Organization Active NPI

Community Foundation Medical Group

Doing business as Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1811258510
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Doing business as
Sante' Foundation Medical Group
Practice address
7370 N Palm Ave Ste 101
Fresno, CA 93711-5782
Phone
(559) 228-5400
NPI assigned
May 30, 2012
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Mr. Scott B Wells
Title
Executive Director
Phone
(559) 228-5429

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA Primary
Podiatrist 213E00000X CA

Addresses

Primary practice location

7370 N Palm Ave Ste 101
Fresno, CA 93711-5782

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-5400

Other names 1

  • Sante' Foundation Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120723000387 CA Part B Supplier - Clinic/Group Practice 0345406294 Receives reassigned benefits from 553 practitioners
3 other NPIs on this enrollment
O20191104002234 CA DME Supplier - Physician - Podiatry 0345406294 Practice locations: Fresno, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations (25 of 77)

31981 Lodge Rd
#102
Auberry, CA 93602
Phone (559) 855-3601

2111 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

681 N Medical Center Dr W
Clovis, CA 93611

722 N Medical Center Dr E
Clovis, CA 93611

726 N Medical Center Dr E
Ste 2
Clovis, CA 93611

729 N Medical Center Dr W
Ste 21
Clovis, CA 93611

729 N Medical Center Dr W
Ste 22
Clovis, CA 93611

729 N Medical Center Dr W
Ste 221
Clovis, CA 93611
Phone (559) 299-6600

785 N Medical Center Dr W
#205
Clovis, CA 93611

1122 S St
Ste 101
Fresno, CA 93721
Phone (559) 486-5000

1180 E Shaw Ave
Fresno, CA 93710
Phone (559) 228-4222

1180 E Shaw Ave
Ste 118
Fresno, CA 93710

1181 E Shaw Ave Ste 101
Fresno, CA 93710

1207 E Herndon Ave
Fresno, CA 93720
Phone (559) 432-4303

1275 E Spruce Ave
Fresno, CA 93720
Phone (559) 439-5757

1300 N Fresno St
Ste 203
Fresno, CA 93703

1313 E Herndon Ave
#101B203206
Fresno, CA 93720

1313 E Herndon Ave
Ste 101B
Fresno, CA 93720

1313 E Herndon Ave
Ste 101B102
Fresno, CA 93720

1313 E Herndon Ave
Ste 101B202
Fresno, CA 93720

1313 E Herndon Ave
Ste 101B20220
Fresno, CA 93720

1313 E Herndon Ave
Ste 202
Fresno, CA 93720
Phone (559) 237-9118

1313 E Herndon Ave
Ste 202207
Fresno, CA 93720

1313 E Herndon Ave
Ste 204
Fresno, CA 93720

1313 E Herndon Ave
Ste 206
Fresno, CA 93720

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 621

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.

View all 621

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1811258510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-5400",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115782",
            "telephone_number": "559-228-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FOUNDATION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-228-5429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sante' Foundation Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sante' Foundation Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2022; 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.