Primary Healthcare Plus Medical Group Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A52879 Issued in CA

Legal business name

PRIMARY HEALTHCARE PLUS MEDICAL GROUP INC

Practice address

2900 Fresno St
Suite 106
Fresno, CA 93721-1439

Phone

(559) 266-2900

Fax

(559) 268-2900

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Garcia Mayhay-Lopez, M.D.NPI 1164635363

Title

Owner/President

Phone

(559) 266-2900

Specialties & licenses 1

Addresses

Other names 1

• REJUVIMED Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Garcia Mayhay-Lopez, M.D.

  • General Practice Physician
  • Fresno, CA
  • NPI 1164635363
  NPD (past) Authorized official

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1871986265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRESNO ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211439",
            "telephone_number": "559-266-2900",
            "fax_number": "559-268-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRESNO ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211439",
            "telephone_number": "559-266-2900",
            "fax_number": "559-268-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE PLUS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MAYHAY-LOPEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-266-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A52879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REJUVIMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Renae Prichard
• Brianna Prieto
• Jordan David Prieto, D.D.S
• Primary Care Internist Inc
• Primary Care Providers LLC
• Prime Enterprise Alpha LLC
• Prime Medical Transport LLC
• Prime Medicine Partners Inc
• Prime Mental Health Center
• Prime Orbbit LLC

• Dermatology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.