1. Home
  2. Directory
  3. California
  4. Fresno
  5. Family Medicine
  6. NPI Profile

FAMILY CARE CLINIC OF FRESNO
NPI 1629108824
Family Medicine in Fresno, CA

Active since March 06, 2007CLIA 05D1064280 · Waiver
6191 N FRESNO ST, SUITE 101, FRESNO, CA 93710(559) 227-1663(559) 227-9083 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Family Care Clinic Of Fresno NPPES

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

FAMILY CARE CLINIC OF FRESNO (NPI 1629108824) is a healthcare organization registered as a family medicine in Fresno, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Antonio Villalvazo, Owner, as its authorized official.

NPPES Registry Identity

NPI1629108824
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTONIO VILLALVAZO M.D. INC
Location Address6191 N FRESNO ST, SUITE 101Fresno, CA 93710-8612
Mailing Address6191 N Fresno St, Suite 101Fresno, CA 93710-8612 · (559) 227-1663 · Fax (559) 227-9083
Phone(559) 227-1663
Fax(559) 227-9083
Organization SubpartNo
Authorized OfficialAntonio VillalvazoOwner · (559) 227-1663
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 13, 2011
✔ NPI 1629108824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C52080
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6191 N FRESNO ST, Fresno, CA 93710
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Care Clinic Of Fresno

Other Identifiers 3

Medicaid5430437CA
Medicare UPIN169393CA
Medicare ID-Type Unspecified00C52080CA

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 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 05D1064280

Family Care Clinic Of Fresno · Fresno, CA
Active · expires Jan 31, 2027
CLIA Number05D1064280
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorAntonio Villalvazo MD
Laboratory Phone(559) 227-1663
Laboratory LocationFamily Care Clinic Of Fresno6191 N Fresno St Ste 101, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ARIEL SHOSHONA MILLARD M.D.
Surgery
6191 N FRESNO ST, SUITE 102
FRESNO, CA 93710
Fresno County (559) 432-3434
ANTONIO VILLALVAZO
Family Medicine
6191 N FRESNO ST, SUITE 101
FRESNO, CA 93710
Fresno County (559) 227-1663

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 Antonio Villalvazo M.D. Inc's NPI number?

The NPI number for Antonio Villalvazo M.D. Inc is 1629108824. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Family Care Clinic Of Fresno.

Where is Antonio Villalvazo M.D. Inc located?

Antonio Villalvazo M.D. Inc is located at 6191 N Fresno St Suite 101, Fresno, CA 93710. The listed phone number is (559) 227-1663.

What is Antonio Villalvazo M.D. Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Antonio Villalvazo M.D. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1064280) is associated with this NPI, valid through January 31, 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 Antonio Villalvazo M.D. Inc was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.