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GETTYSBURG MEDICAL CLINIC,INC.
NPI 1609112499
General Practice in Fresno, CA

Active since December 24, 2012CLIA 05D0945142 · Waiver
5088 N FRESNO ST STE D, FRESNO, CA 93710(559) 222-9362(559) 222-9369 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017 (2 updates tracked since 2017).

About Gettysburg Medical Clinic,inc. NPPES

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

GETTYSBURG MEDICAL CLINIC,INC. (NPI 1609112499) is a healthcare organization registered as a general practice in Fresno, California and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Grace Wee Lim, President, as its authorized official.

NPPES Registry Identity

NPI1609112499
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGETTYSBURG MEDICAL CLINIC INC
Location Address5088 N FRESNO ST STE DFresno, CA 93710-7611
Mailing Address5088 N Fresno St Ste DFresno, CA 93710-7611 · (559) 222-9362 · Fax (559) 222-9369
Phone(559) 222-9362
Fax(559) 222-9369
Organization SubpartYesParent: Gettysburg Medical Clinic,inc.
Authorized OfficialGrace Wee LimPresident · (559) 244-6360
Enumeration DateDecember 24, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1609112499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedPediatricsTaxonomy 208000000X
5088 N FRESNO ST STE D, Fresno, CA 93710
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Other Names 1

Doing Business AsGettysburg Medical Clinic,inc.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0945142

Gettysburg Medical Clinic Inc · Fresno, CA
Active · expires Apr 26, 2028
CLIA Number05D0945142
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorGrace W. Lim
Laboratory Phone(559) 222-9362
Laboratory LocationGettysburg Medical Clinic Inc5088 N Fresno St Ste B, Fresno, CA 93710
CLIA data matches this NPI record on: Name 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 Gettysburg Medical Clinic Inc's NPI number?

The NPI number for Gettysburg Medical Clinic Inc is 1609112499. It was assigned to this organization in the NPPES registry on December 24, 2012. The provider is doing business as Gettysburg Medical Clinic,inc..

Where is Gettysburg Medical Clinic Inc located?

Gettysburg Medical Clinic Inc is located at 5088 N Fresno St Ste D, Fresno, CA 93710. The listed phone number is (559) 222-9362.

What is Gettysburg Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Gettysburg Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0945142) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gettysburg Medical Clinic Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.