Individual provider Active NPI

San Anwar Fahmy Gabriel, MD

  • Internal Medicine Physician
  • Clovis, CA
National Provider Identifier
1922025857
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A95909 Issued in CA
Practice address
1817 Shaw Ave Ste 101
Clovis, CA 93611-4069
Phone
(559) 940-6664
Fax
(559) 900-7236
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95909 CA Primary

Addresses

Primary practice location

1817 Shaw Ave Ste 101
Clovis, CA 93611-4069

Mailing address

864 E Quincy Ave
Suite C
Fresno, CA 93720-2107
Phone (559) 708-0837

Other identifiers 1

IdentifierTypeStateIssuer
00A959090MedicaidCA

Other names 1

  • San Anwar Fahmy Gabriel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000700 CA Practitioner - Internal MedicinePractitioner - General Practice 2668576521 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians
San Gabriel ClinicGroup PAC ID 5092129692, 2 clinicians

Practice addresses (Care Compare)

1817 Shaw Ave
Suite 101
Clovis, CA 93611-4069
Phone (559) 940-6664

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

3231 Waring CT
Oceanside, CA 92056-4510
Phone (760) 666-7405

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95909CAMDMarriage & Family Therapist
A95909CAMDInternal Medicine Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Family Wellness Clinic, Inc Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 21, 2012 Accepting new patients
San Gabriel Clinic CurrentSince Aug 29, 2020 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 21, 2012 Accepting new patients
Community Health Partners CurrentSince Mar 1, 2022 Accepting new patients
Robert a Ring PastSince Oct 4, 2020 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

1817 Shaw Ave
Ste 101
Clovis, CA 93611
Phone (559) 325-1999

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

3152 N Millbrook Ave
Ste C
Fresno, CA 93703
Phone (559) 222-9500

3231 Waring Ct
Ste B
Oceanside, CA 92056
Phone (760) 666-7405

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1922025857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 E QUINCY AVE",
            "address_2": "SUITE C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202107",
            "telephone_number": "559-708-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114069",
            "telephone_number": "559-940-6664",
            "fax_number": "559-900-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "SAN",
        "middle_name": "ANWAR FAHMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A959090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAN",
            "last_name": "GABRIEL",
            "middle_name": "ANWAR FAHMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.