# COMMUNITY FOUNDATION MEDICAL GROUP

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821761743
- **Legal business name:** COMMUNITY FOUNDATION MEDICAL GROUP
- **Authorized official:** MR. SCOTT B WELLS (CEO/PRESIDENT)
- **Authorized official phone:** (559) 228-5429

## Contact information

- **Practice address:** 1516 SHAW AVE, CLOVIS, CA 93611-4028
- **Practice address phone:** (559) 228-5400
- **Mailing address:** PO BOX 28949, FRESNO, CA 93729-8949
- **Mailing address phone:** (559) 228-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 02/14/2022