FAMILY WELLNESS CLINIC, INC
NPI 1013430982
Internal Medicine in Clovis, CA

Q: What is Family Wellness Clinic, Inc's NPI number?

The NPI number for Family Wellness Clinic, Inc is 1013430982. It was assigned to this organization in the NPPES registry on July 21, 2017.

Q: What is Family Wellness Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 21, 2017CLIA 05D2098841 · Waiver

1817 SHAW AVE STE 101, CLOVIS, CA 93611(559) 360-9698 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Jul 21, 2022, Feb 19, 2021 and 2 more (5 updates tracked since 2017).

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About Family Wellness Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY WELLNESS CLINIC, INC (NPI 1013430982) is a healthcare organization registered as an internal medicine in Clovis, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists San Gabriel, President, as its authorized official.

NPPES Registry Identity

NPI1013430982

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameFAMILY WELLNESS CLINIC, INC

Location Address1817 SHAW AVE STE 101Clovis, CA 93611-4069

Mailing Address1817 Shaw Ave Ste 101Clovis, CA 93611-4069 · (559) 940-6664

Phone(559) 360-9698

Organization SubpartNo

Authorized OfficialSan GabrielPresident · (559) 360-9698

Enumeration DateJuly 21, 2017

Last NPPES UpdateAugust 11, 20235 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1013430982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1817 SHAW AVE STE 101, Clovis, CA 93611

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Wellness Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Wellness Clinic, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

San Gabriel, MD

Internal Medicine

NPI 1922025857

1817 SHAW AVE STE 101
Clovis, CA 93611

(559) 940-6664

✔ PECOS✔ Accepts MedicareSame address

Andrew Gabriel, DO

Internal Medicine

NPI 1669977740

15 E AUDUBON DR
Fresno, CA 93720

(559) 433-8000

✔ PECOS✔ Accepts Medicare6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2098841

Family Wellness Clinic, Inc · Clovis, CA

Active · expires Jul 14, 2027

CLIA Number05D2098841

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorSan Gabriel

Laboratory Phone(559) 940-6664

Laboratory LocationFamily Wellness Clinic, Inc1817 Shaw Ave Ste 101, Clovis, CA 93611

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Wellness Clinic, Inc's NPI number?

The NPI number for Family Wellness Clinic, Inc is 1013430982. It was assigned to this organization in the NPPES registry on July 21, 2017.

Where is Family Wellness Clinic, Inc located?

Family Wellness Clinic, Inc is located at 1817 Shaw Ave Ste 101, Clovis, CA 93611. The listed phone number is (559) 360-9698.

What is Family Wellness Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Family Wellness Clinic, Inc enrolled in Medicare?

Yes. Family Wellness Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Wellness Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Family Wellness Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Wellness Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2098841) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Wellness Clinic, Inc was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.