PREMIER CANCER CARE AND INFUSION CENTER
NPI 1568190064
Internal Medicine - Hematology & Oncology in Fresno, CA

Q: What is Premier Cancer Care And Infusion Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 11, 2022

6121 N THESTA ST STE 204, FRESNO, CA 93710(595) 554-2100(559) 554-2114 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2025, Jun 9, 2025, Aug 11, 2022 (3 updates tracked since 2022).

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About Premier Cancer Care And Infusion Center NPPES

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

PREMIER CANCER CARE AND INFUSION CENTER (NPI 1568190064) is a healthcare organization registered as a hematology & oncology in Fresno, California and active in the NPI registry since August 2022. The organization lists Dina Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1568190064

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NamePREMIER CANCER CARE AND INFUSION CENTER

Location Address6121 N THESTA ST STE 204Fresno, CA 93710-5294

Mailing AddressPo Box 26897Fresno, CA 93729-6897 · (559) 554-2100 · Fax (775) 747-5005

Phone(595) 554-2100

Fax(559) 554-2114

Organization SubpartNo

Authorized OfficialDina IbrahimPresident · (559) 554-2100

Enumeration DateAugust 11, 2022

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1568190064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

6121 N THESTA ST STE 204, Fresno, CA 93710

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Other Identifiers 1

Other193200000XTaxonomy Code

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Cancer Care And Infusion Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Cancer Care And Infusion Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Dina Ibrahim, M.D

Hematology/Oncology

NPI 1780625376

6121 N THESTA ST STE 204
Fresno, CA 93710

(559) 554-2100

✔ PECOS✔ Accepts MedicareSame address

Michelle Bergen, FNP-BC

Nurse Practitioner

NPI 1144732017

1275 E SPRUCE AVE STE 101
Fresno, CA 93720

(559) 439-5757

✔ PECOS1.7 mi

Shada Attraplsi

Internal Medicine

NPI 1659707826

7370 N PALM AVE STE 101
Fresno, CA 93711

(559) 228-4222

✔ PECOS✔ Accepts Medicare1.8 mi

Muhammad Alam, M.D

Hematology/Oncology

NPI 1417906835

7065 N. MAPLE AVE STE 102
Fresno, CA 93720

(559) 554-2100

✔ PECOS✔ Accepts Medicare2.3 mi

Julianne Macmullen, FNP

Nurse Practitioner

NPI 1053044107

5127 W NOBLE AVE
Visalia, CA 93277

(559) 713-6515

✔ PECOS✔ Accepts Medicare42 mi

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

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 Premier Cancer Care And Infusion Center's NPI number?

The NPI number for Premier Cancer Care And Infusion Center is 1568190064. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Premier Cancer Care And Infusion Center located?

Premier Cancer Care And Infusion Center is located at 6121 N Thesta St Ste 204, Fresno, CA 93710. The listed phone number is (595) 554-2100.

What is Premier Cancer Care And Infusion Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Premier Cancer Care And Infusion Center enrolled in Medicare?

Yes. Premier Cancer Care And Infusion Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Cancer Care And Infusion Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Premier Cancer Care And Infusion Center, in Hematology/Oncology, Internal Medicine and Nurse Practitioner. 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 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Cancer Care And Infusion Center was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.