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

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: August 09, 2026.

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

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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATINA M. ALFIERIS D.D.S.
Dentist (General Practice)
1817 SHAW AVE STE 101
CLOVIS, CA 93611
Fresno County (559) 325-1999
SAN ANWAR FAHMY GABRIEL MD
Internal Medicine
1817 SHAW AVE STE 101
CLOVIS, CA 93611
Fresno County (559) 940-6664

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.

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.