FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
NPI 1679654404
Rehabilitation Unit in Fresno, CA

NPI Status: Active since October 18, 2006

Contact Information

2823 FRESNO ST
FRESNO, CA
ZIP 93721
Phone: (559) 459-2222
Fax: (559) 459-2575

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  • Organization
  • Rehabilitation Unit
  • CLIA Number: 05D2144311
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 02-13-2026

About FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Fresno Community Hospital And Medical Center, a provider established in Fresno, California operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1679654404 assigned on October 2006. The practitioner's primary taxonomy code is 273Y00000X with license number 040000096 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Craig Allen Wagoner (Ceo)

NPI
1679654404
Provider Legal Name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2823 FRESNO ST FRESNO, CA 93721
Location Phone
(559) 459-2222
Location Fax
(559) 459-2575
Mailing Address
PO BOX 1232 FRESNO, CA 93715
Mailing Phone
(559) 459-2222
Mailing Fax
(559) 459-2575
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-18-2006
Last Update Date
07-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
License No.
040000096
License State
CA
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CRAIG ALLEN WAGONER

Authorized Official Title
CEO
Authorized Official Phone
(559) 324-4266

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2144311
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
February 14, 2024
Certificate Expiration Date
February 13, 2026
Laboratory Director
DANIEL A. CORTEZ MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fresno Community Hospital And Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679654404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 2 + 5 + 8 + 4 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679654404.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Physical Therapist
2823 FRESNO ST
FRESNO, CA 93721
Specialist
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Pharmacist (Pharmacotherapy)
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Surgery
2823 FRESNO ST
FRESNO, CA 93721
General Acute Care Hospital
2823 FRESNO ST, SURGERY, FIRST FLOOR
FRESNO, CA 93721
Physician Assistant (Surgical)
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner (Neonatal, Critical Care)
2823 FRESNO ST
FRESNO, CA 93721
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2823 FRESNO ST, ATTENTION PHARMACY
FRESNO, CA 93721
Nurse Practitioner (Neonatal)
2823 FRESNO ST
FRESNO, CA 93721
Pharmacist
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Surgical)
2823 FRESNO ST
FRESNO, CA 93721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679654404, enumerated as an "organization" on October 18, 2006.

The provider is located at 2823 FRESNO ST FRESNO, CA 93721 and the phone number is (559) 459-2222.

Rehabilitation Unit with taxonomy code 273Y00000X.