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CEDAR UNIVERSITY CLINIC
NPI 1033627179
Clinic/Center - Community Health in Fresno, CA

Active since January 10, 2018CLIA 05D2147376 · Microscopy
4770 N CEDAR AVE, FRESNO, CA 93726(559) 860-4900(559) 255-7906 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2024, Apr 3, 2019, Jan 10, 2018 (3 updates tracked since 2018).

About Cedar University Clinic NPPES

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

CEDAR UNIVERSITY CLINIC (NPI 1033627179) is a healthcare organization registered as a community health in Fresno, California and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through April 17, 2028 and lists Bla Mouanoutoua, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033627179
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameGREATER FRESNO HEALTH ORGANIZATION, INC.
Location Address4770 N CEDAR AVEFresno, CA 93726-1065
Mailing Address4770 N Cedar AveFresno, CA 93726-1065 · (559) 860-4900 · Fax (559) 255-7906
Phone(559) 860-4900
Fax(559) 255-7906
Organization SubpartYes
Authorized OfficialBla MouanoutouaCeo · (559) 255-6476
Enumeration DateJanuary 10, 2018
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1033627179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
4770 N CEDAR AVE, Fresno, CA 93726
Open in Google Maps ↗

Other Names 1

Doing Business AsCedar University Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2147376

Cedar University Clinic · Fresno, CA
Active · expires Apr 17, 2028
CLIA Number05D2147376
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorApai Polyudhapoom
Laboratory Phone(559) 860-4900
Laboratory LocationCedar University Clinic4770 N Cedar Ave, Fresno, CA 93726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

PROSPICE MEDICAL GROUP CORPORATION
Neurological Surgery
4770 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 226-6824
EDGAR PADILLA-VALDIVIA
Physician Assistant
4770 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 860-4900
MAO LEE
Nurse Practitioner (Family)
4770 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 860-4900
YOLANDA BAHENA MSN, APRN, FNP-C
Clinic/Center (Primary Care)
4770 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 860-4900

Frequently Asked Questions

What is GREATER FRESNO HEALTH ORGANIZATION, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1033627179, enumerated as an "organization" on January 10, 2018.

Where is the provider located?

The provider is located at 4770 N CEDAR AVE FRESNO, CA 93726 and the phone number is (559) 860-4900.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.