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3636 N 1st St Ste 160 Fresno CA 93726-6869 | |
(559) 944-9298 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 3636 N 1st St Ste 160, Fresno, California |
Authorized Official Name and Position | Gabriel Carpio-bracho (PRESIDENT) |
Authorized Official Contact | 5599449298 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3636 N 1st St Ste 160 Fresno CA 93726-6869 Ph: (559) 944-9298 | 3636 N 1st St Ste 160 Fresno CA 93726-6869 Ph: (559) 944-9298 |
NPI Number | 1720759871 |
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Provider Enumeration Date | 09/27/2021 |
Last Update Date | 07/06/2022 |
Medicare PECOS PAC ID | 3678944915 |
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Medicare Enrollment ID | O20230124000882 |
Identifier | Type | State | Issuer |
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1720759871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | Gabriel A Carpio-bracho |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700226669 PECOS PAC ID: 2961700745 Enrollment ID: I20170905001884 |
Provider Name | Mario R Gutierrez |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1205254968 PECOS PAC ID: 4486995040 Enrollment ID: I20230302001655 |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |