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FAMILY CARE PROVIDERS MEDICAL GROUP,INC
NPI 1689759565
Pediatrics in Fresno, CA

Active since October 26, 2006CLIA 05D0894725 · Microscopy
1300 N FRESNO ST, FRESNO, CA 93703(559) 495-6702(559) 495-6781 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Care Providers Medical Group,inc NPPES

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

FAMILY CARE PROVIDERS MEDICAL GROUP,INC (NPI 1689759565) is a healthcare organization registered as a pediatrics in Fresno, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through November 20, 2026 and lists Kimberly Mckenney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689759565
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFAMILY CARE PROVIDERS MEDICAL GROUP,INC
Location Address1300 N FRESNO STFresno, CA 93703-3845
Mailing Address1300 N Fresno StFresno, CA 93703-3845 · (559) 495-6702 · Fax (559) 495-6781
Phone(559) 495-6702
Fax(559) 495-6781
Organization SubpartNo
Authorized OfficialKimberly MckenneyAdministrator · (559) 495-6758
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689759565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1300 N FRESNO ST, Fresno, CA 93703
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Other Identifiers 1

Medicaid00AX59230CA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0894725

Family Care Providers Medical Group · Fresno, CA
Active · expires Nov 20, 2026
CLIA Number05D0894725
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorDavid W. Cardona
Laboratory Phone(559) 495-6758
Laboratory LocationFamily Care Providers Medical Group1300 N Fresno St Ste 220, Fresno, CA 93703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

FAMILY CARE PROVIDERS MEDICAL GROUP INC
Family Medicine
1300 N FRESNO ST, SUITE #220
FRESNO, CA 93703
Fresno County (559) 495-6702
DR. EMERSON BERTRAM WALLS DO
Pediatrics
1300 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 495-6758
MR. MANUEL EDWARD MEJIAS JR. PA
Physician Assistant (Medical)
1300 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 295-6700
MR. DAVID WAYNE CARDONA MD
Family Medicine
1300 N FRESNO ST, SUITE #220
FRESNO, CA 93703
Fresno County (559) 495-6758
MRS. IRMA YOLANDA CASTRO MD
Family Medicine
1300 N FRESNO ST, SUITE #220
FRESNO, CA 93703
Fresno County (559) 495-6758
UNIVERSAL BIOPHARMA RESEARCH INSTITUTE INC
Clinical Medical Laboratory
1300 N FRESNO ST, UNIVERSAL BIOMEDICAL RESEARCH LABORATORY
FRESNO, CA 93703
Fresno County (503) 816-9367
BUKER COLSON MEDICINE CHEST
Pharmacy (Community/Retail Pharmacy)
1300 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 237-4171

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 Family Care Providers Medical Group,inc's NPI number?

The NPI number for Family Care Providers Medical Group,inc is 1689759565. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Family Care Providers Medical Group,inc located?

Family Care Providers Medical Group,inc is located at 1300 N Fresno St, Fresno, CA 93703. The listed phone number is (559) 495-6702.

What is Family Care Providers Medical Group,inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Family Care Providers Medical Group,inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0894725) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care Providers Medical Group,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.