# 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:** 1215521455
- **Legal business name:** COMMUNITY FOUNDATION MEDICAL GROUP
- **Authorized official:** MR. SCOTT WELLS (CEO/PRESIDENT)
- **Authorized official phone:** (559) 228-5429

## Contact information

- **Practice address:** 1270 E SPRUCE AVE, FRESNO, CA 93720-3312
- **Practice address phone:** (559) 256-5200
- **Mailing address:** PO BOX 28949, FRESNO, CA 93729-8949
- **Mailing address phone:** (559) 228-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 02/14/2022