Angel Daniel Comelli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G35240 Issued in CA

Practice address

5044 N. Barton Ave.
University Health & Psychological Services
Fresno, CA 93740-8012

Phone

(559) 278-6710

Fax

(559) 278-7602

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Student Health Service Pharmacy

  • Clinic Pharmacy
  • Fresno, CA
  • NPI 1093922957
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871511170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 E HUNTINGTON BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022920",
            "telephone_number": "559-278-6710",
            "fax_number": "559-278-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 N. BARTON AVE.",
            "address_2": "UNIVERSITY HEALTH & PSYCHOLOGICAL SERVICES",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937408012",
            "telephone_number": "559-278-6710",
            "fax_number": "559-278-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMELLI",
        "first_name": "ANGEL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G35240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G35240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Ralph Colwell, LPT
• Elvira Imperial Combe
• Andrew Jamison Combs, DDS, MS
• Curtis Edward Combs Jr.
• Sabrina Combs
• James A Comes, MD
• Comfort Med Trans Inc.
• Ernest Alexander Pabatao Comia
• Rolly Abutal Comia, BSN RN
• Cathernine Comini

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.