Fresno Women'S Medical Group, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FRESNO WOMEN'S MEDICAL GROUP, INC.

Practice address

726 N. Medical Center Drive East
Suite 221
Clovis, CA 93611-6886

Phone

(559) 322-2900

Fax

(559) 324-8793

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Monica Kopacz, MDNPI 1952552333

Title

Physician-Sole Owner

Phone

(559) 322-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694

  Member Of

  NPD member

Locations

Practitioners 2

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

• Sharon Monica Kopacz, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
  • NPI 1952552333
  Medicare reassignment NPD Authorized official
• Kelli Rae Beingesser, MD

  • Obstetrics & Gynecology Physician
  • Santa Cruz, CA
  • NPI 1730144528
  Medicare reassignment NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1992710552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N. MEDICAL CENTER DRIVE EAST",
            "address_2": "SUITE 221",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-322-2900",
            "fax_number": "559-324-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N. MEDICAL CENTER DRIVE EAST",
            "address_2": "SUITE 221",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-322-2900",
            "fax_number": "559-324-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO WOMEN'S MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "KOPACZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "PHYSICIAN-SOLE OWNER",
        "authorized_official_telephone_number": "559-322-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750703237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Community Hospital and Medical Center
• Fresno Home Care, LLC
• Fresno Imaging Center Medical Group
• Mirra Justine Frias
• Jason Allan Frost
• Emma Fuentes
• Mary Ann Fujihara, D.O.
• Deborah Fujimoto

• Federally Qualified Health Center (FQHC) in Clovis, CA
• Providers in Clovis, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.