Central California Faculty Medical Group, Inc.

LBN: Central California Faculty Medical Group, Inc.
Central California Faculty Medical Group, Inc. is an health care organization with primary practice located at 7415 N Cedar Ave Suite 102, Fresno CA 93720-3834. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Central California Faculty Medical Group, Inc. can be contacted via phone (559) 435-6600, or through Van Gundy, Karl P via phone (559) 443-2682.

Contact Information

Primary practice address
7415 N Cedar Ave Suite 102 Fresno CA 93720-3834
Phone: (559) 435-6600
Fax: (559) 435-6622
Website:
Map and Directions
Authorized official contact:
Name: Van Gundy, Karl P Doctor of Medicine (MD)
Phone: (559) 443-2682

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1205971595
LBN Legal business name Central California Faculty Medical Group, Inc.
DBA Doing business as
Authorized official Van Gundy, Karl P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Feb 27th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205971595 NPPES
California MEDICAID GR0077242
California MEDICAID GR0077240
California MEDICAID GR0077243
California MEDICAID GR0014819
California MEDICAID GR0014812

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