Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC
Active
Organization
COMMUNITY MEDICAL PROVIDERS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT NAKAMURA MD (MEDICAL DIRECTOR)
(559) 228-5400
Entity
Organization
Contact information
Practice address
1180 E SHAW AVE, STE 125, FRESNO, CA 93710-7812
(559) 228-4200
(559) 224-3920
Mailing address
PO BOX 28900, FRESNO, CA 93729
(559) 228-4200
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G50552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068690
—
CA
05
—
GR0068691
—
CA
05
—
GR0068692
—
CA
05
—
GR0068693
—
CA
05
—
GR0068694
—
CA
05
—
GR0068695
—
CA
05
—
GR0068696
—
CA
Enumeration date
12/30/2005
Last updated
10/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up