Individual provider Active NPI

George C Molina, M.D.

  • Internal Medicine Physician
  • Clovis, CA
National Provider Identifier
1952315848
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OOG675930 Issued in CA
Practice address
684 Medical Center Dr E Ste 102
Clovis, CA 93611-6806
Phone
(559) 297-3333
Fax
(559) 297-3344
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 OOG675930 CA Primary

Addresses

Primary practice location

684 Medical Center Dr E Ste 102
Clovis, CA 93611-6806

Mailing address

685 Medical Center Dr W Ste 102
Clovis, CA 93611-6804
Phone (559) 297-3333

Other identifiers 1

IdentifierTypeStateIssuer
05D0936928OtherCACLIA

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
I20070509000315 CA Practitioner - Internal Medicine 2668578592 Reassigns benefits to 2 organizations
Practice locations: Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

684 Medical Ctr Dr E
Suite 102
Clovis, CA 93611-6806
Phone (559) 297-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OOG675930CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Saint Agnes Medical Center CurrentSince Oct 5, 2009 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 7, 2010 Accepting new patients
Trinity Home Health Services CurrentSince Oct 5, 2009 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 7, 2010 Accepting new patients

Locations

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

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

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

Organizations & group practices 5

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 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1952315848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MEDICAL CENTER DR W STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116804",
            "telephone_number": "559-297-3333",
            "fax_number": "559-297-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 MEDICAL CENTER DR E STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116806",
            "telephone_number": "559-297-3333",
            "fax_number": "559-297-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "OOG675930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0936928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.