| Family Care Providers | |
|
1300 N Fresno St Suite #220 Fresno CA 93703-3845 | |
| (559) 495-6702 | |
| (559) 495-6788 |
| Full Name | Family Care Providers |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Kimberly Mckenney (ADMINISTRATOR) |
| Authorized Official Contact | 5594956758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Providers 1300 N Fresno St Suite #220 Fresno CA 93703-3845 Ph: (559) 495-6702 | Family Care Providers 1300 N Fresno St Suite #220 Fresno CA 93703-3845 Ph: (559) 495-6702 |
| NPI Number | 1073546032 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587611637 |
|---|---|
| Medicare Enrollment ID | O20050331001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073546032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Cardona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265466759 PECOS PAC ID: 7618984238 Enrollment ID: I20060307000480 |
| Provider Name | Irma Y Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285652669 PECOS PAC ID: 5698840338 Enrollment ID: I20080814000791 |
| Provider Name | Isabel Yang Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033405337 PECOS PAC ID: 0547675126 Enrollment ID: I20210211001850 |
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