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OMNI WOMENS HEALTH MEDICAL GROUP INC
NPI 1396721197
Obstetrics & Gynecology - Gynecology in Fresno, CA

Active since December 22, 2005CLIA Certified · 2 labs
3812 N 1ST ST, FRESNO, CA 93726(559) 495-3120(559) 495-3134 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Omni Womens Health Medical Group Inc NPPES

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

OMNI WOMENS HEALTH MEDICAL GROUP INC (NPI 1396721197) is a healthcare organization registered as a gynecology in Fresno, California and active in the NPI registry since December 2005. The organization holds 2 active CLIA laboratory certificates and lists Fenglaly Cherta Lee, President, as its authorized official.

NPPES Registry Identity

NPI1396721197
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameOMNI WOMENS HEALTH MEDICAL GROUP INC
Location Address3812 N 1ST STFresno, CA 93726-4301
Mailing Address3812 N 1st StFresno, CA 93726-4301 · (559) 495-3120 · Fax (559) 495-3134
Phone(559) 495-3120
Fax(559) 495-3134
Organization SubpartNo
Authorized OfficialFenglaly Cherta LeePresident · (559) 495-3120
Enumeration DateDecember 22, 2005
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
✔ NPI 1396721197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
3812 N 1ST ST, Fresno, CA 93726
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Other Identifiers 11

MedicaidGR0068481CA
MedicaidGR0068482CA
MedicaidLAB61460FCA
MedicaidGR0068487CA
MedicaidGR0068489CA
MedicaidGR0068480CA
MedicaidGR0068488CA
MedicaidGR0068483CA
MedicaidGR0068486CA
MedicaidGR0068484CA
MedicaidGR0068485CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omni Womens Health Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040331000848Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Omni Womens Health Medical Group Inc, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Corinna Liu, D.O.
Obstetrics/Gynecology
NPI 1083972426
290 N WAYTE LN
Fresno, CA 93701
(559) 459-5755
✔ PECOS✔ Accepts Medicare2.9 mi
Ron Lichtenstein, MD
Obstetrics/Gynecology
NPI 1447243191
2210 E ILLINOIS AVE SUITE 406
Fresno, CA 93701
(559) 486-8888
✔ PECOS✔ Accepts Medicare3.1 mi
Diana Nguyen, M.D.
Obstetrics/Gynecology
NPI 1316241847
2210 E ILLINOIS AVE SUITE 406
Fresno, CA 93701
(559) 486-8888
✔ PECOS3.1 mi
Fenglaly Lee, MD
Obstetrics/Gynecology
NPI 1730239682
2944 FRESNO ST
Fresno, CA 93721
(559) 497-7900
✔ PECOS✔ Accepts Medicare3.1 mi
Tai Po Tschang, MD
Pathology
NPI 1548287543
1303 E HERNDON AVE
Fresno, CA 93720
(559) 450-3130
✔ PECOS3.3 mi
Feei Feei Ung, M.D.
Obstetrics/Gynecology
NPI 1013235605
1530 SHAW AVE
Clovis, CA 93611
(559) 323-9133
✔ PECOS✔ Accepts Medicare4.9 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 2

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 Compliance 05D0961460

Omni Women's Health Medical Group, Inc · Fresno, CA
Active · expires May 30, 2028
CLIA Number05D0961460
Laboratory TypeIndependent
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorSandy S. Wu
Laboratory Phone(559) 495-3120
Laboratory LocationOmni Women's Health Medical Group, Inc3812 N First St, Fresno, CA 93726
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 05D0931435

Omni Women's Health Medical Group · Fresno, CA
Active · expires Jul 28, 2027
CLIA Number05D0931435
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorRon Lichtenstein MD
Laboratory Phone(559) 495-3120
Laboratory LocationOmni Women's Health Medical Group2210 E Illinois Ave, Fresno, CA 93701
CLIA data matches this NPI record on: 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 Omni Womens Health Medical Group Inc's NPI number?

The NPI number for Omni Womens Health Medical Group Inc is 1396721197. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Omni Womens Health Medical Group Inc located?

Omni Womens Health Medical Group Inc is located at 3812 N 1st St, Fresno, CA 93726. The listed phone number is (559) 495-3120.

What is Omni Womens Health Medical Group Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Omni Womens Health Medical Group Inc enrolled in Medicare?

Yes. Omni Womens Health Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Omni Womens Health Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Omni Womens Health Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Omni Womens Health Medical Group 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. The largest specialties are Obstetrics/Gynecology (5) and Pathology (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Omni Womens Health Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Omni Womens Health Medical Group Inc was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.