Active NPI
Wilbert Fortson Jr., M.D.
- Maternal & Fetal Medicine Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- A74703
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636-8761 - Phone
- (559) 353-5700
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 057459 | GA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | A74703 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL
Madera, CA 93636-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942381223 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- St. Louis College of Physicians and Surgeons, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
726 N Medical Ctr Dr E
Suite 233
Clovis, CA 93611-6881
Phone (559) 472-4255
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A74703 | CA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Current | Accepting new patients | |
| Community Health Partners | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Rockdale Medical Center Inc. | Past | Accepting new patients | |
| Southern Regional Health System, Inc | Past | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Past | Accepting new patients | |
| Piedmont Henry Hospital, Inc. | Past | Accepting new patients | |
| Piedmont Newton Hospital, Inc. | Past | Accepting new patients | |
| Fayette Community Hospital, Inc. | Past | Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
726 N Medical Center Dr E
Ste 223
Clovis, CA 93611
Phone (559) 472-4255
726 N Medical Center Dr E
Ste 233
Clovis, CA 93611
Phone (559) 472-4255
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
119 S Locust St
#A
Visalia, CA 93291
Phone (559) 451-3630
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1285663856
-
- General Acute Care Hospital
- Riverdale, GA
- NPI 1831190958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1942381223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTSON",
"first_name": "WILBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "057459",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "A74703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942381223",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.