Active NPI
Muscular Skeletal Medical Associates, Inc
- Immunopathology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Immunopathology Physician
- License
- 020A53070
- Legal business name
- MUSCULAR SKELETAL MEDICAL ASSOCIATES, INC
- Practice address
- 3726 N 1St St
Fresno, CA 93726-5601 - Phone
- (559) 248-0116
- Fax
- (559) 248-0119
- NPI assigned
- Sep 21, 2006
- 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
- Daniel B. Brubaker, D.O.
- Title
- Owner
- Phone
- (559) 248-0116
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Immunopathology Physician | 207ZI0100X | 020A53070 | CA | Primary |
Addresses
Primary practice location
3726 N 1St St
Fresno, CA 93726-5601
Mailing address
3726 N 1St St
Fresno, CA 93726-5601
Phone (559) 248-0116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B58262 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1642 E Herndon Ave
Fresno, CA 93720
Phone (323) 359-4898
1642 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 248-0116
2501 W Shaw Ave
Ste 113
Fresno, CA 93711
Phone (559) 507-3760
3726 N 1st St
Fresno, CA 93726
Phone (559) 248-0116
1910 W Whitendale Ave
Visalia, CA 93277
Phone (559) 930-9051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Immunopathology Physician
- Fresno, CA
- NPI 1467559526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588291200000",
"number": "1902905755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3726 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937265601",
"telephone_number": "559-248-0116",
"fax_number": "559-248-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937265601",
"telephone_number": "559-248-0116",
"fax_number": "559-248-0119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSCULAR SKELETAL MEDICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A",
"authorized_official_last_name": "BRUBAKER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-248-0116",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207ZI0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Immunopathology",
"state": "CA",
"license": "020A53070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B58262",
"state": "CA"
}
],
"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 1, 2020; 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.