# COMMUNITY FOUNDATION MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY FOUNDATION MEDICAL GROUP
- **Other names:** Sante' Foundation Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134668353
- **Legal business name:** COMMUNITY FOUNDATION MEDICAL GROUP
- **Authorized official:** SCOTT B WELLS (CEO/PRESIDENT)
- **Authorized official phone:** (559) 228-5429

## Contact information

- **Practice address:** 7370 N PALM AVE STE 101, FRESNO, CA 93711-5782
- **Practice address phone:** (559) 228-5400
- **Mailing address:** PO BOX 28949, FRESNO, CA 93729-8949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | CA | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 03/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GG694A | — | CA |