FRESNO COLLECTIVE FOR INCLUSIVE MEDICINE INC.
NPI 1710709993
Obstetrics & Gynecology - Gynecology in Fresno, CA

NPI Status: Active since October 29, 2024

Contact Information

3032 TULARE ST
FRESNO, CA
ZIP 93721
Phone: (559) 889-3246

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  • Organization
  • Obstetrics & Gynecology
  • Gynecology
  • CLIA Number: 05D0688906
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About FRESNO COLLECTIVE FOR INCLUSIVE MEDICINE INC.

This page provides the complete NPI Profile along with additional information for Fresno Collective For Inclusive Medicine Inc., a women's health care provider established in Fresno, California operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1710709993 assigned on October 2024. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Fresno Collective For Inclusive Medicine Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Julie Nicole Md (Ceo)

NPI
1710709993
Provider Legal Name
FRESNO COLLECTIVE FOR INCLUSIVE MEDICINE INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3032 TULARE ST FRESNO, CA 93721
Location Phone
(559) 889-3246
Mailing Address
3032 TULARE ST FRESNO, CA 93721
Mailing Phone
(559) 889-3246
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2024
Last Update Date
07-28-2025
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Women's health care providers like Fresno Collective For Inclusive Medicine Inc. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

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

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. JULIE NICOLE MD

Authorized Official Title
CEO
Authorized Official Phone
(559) 889-3246

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
05D0688906
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
RHONDA KEOSHEYAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fresno Collective For Inclusive Medicine Inc. 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 1710709993, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 1 → 2 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 4 + 0 + 1 + 8 + 9 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1710709993.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
3032 TULARE ST
FRESNO, CA 93721
Technician, Other
3032 TULARE ST
FRESNO, CA 93721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710709993, enumerated as an "organization" on October 29, 2024.

The provider is located at 3032 TULARE ST FRESNO, CA 93721 and the phone number is (559) 889-3246.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.