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

Active since December 22, 2005CLIA 05D0931435 · Waiver
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: September 06, 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 a CLIA Waiver certificate valid through July 28, 2027 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

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 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.

Other Providers at the Same Location NPPES 9

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

DEBORAH JO MCBRIDE NP
Nurse Practitioner (Women's Health)
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
SILVIA ECHEVESTE
Nurse Practitioner (Family)
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
MAYRA CHRISTOFFERSEN FNP-C
Nurse Practitioner (Family)
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
EVELYN LOGAN N.P., R.N.
Nurse Practitioner (Obstetrics & Gynecology)
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
EVANGLYN SOYLAND
Nurse Practitioner (Women's Health)
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 486-8888
MS. PRISCILLA RODRIGUEZ PA-C
Physician Assistant
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
OMNI WOMEN'S HEALTH MEDICAL GROUP, INC
Clinical Medical Laboratory
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120
ERICA LYNN BEDSTED NP
Nurse Practitioner
3812 N 1ST ST
FRESNO, CA 93726
Fresno County (559) 495-3120

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.

Does Omni Womens Health Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0931435) is associated with this NPI, valid through July 28, 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 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.