PEACHWOOD MEDICAL GROUP CLOVIS INC
NPI 1831170745
General Practice in Clovis, CA

Active since November 08, 2005
275 W HERNDON AVE, CLOVIS, CA 93612(559) 324-6200(559) 324-6280 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peachwood Medical Group Clovis Inc NPPES

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

PEACHWOOD MEDICAL GROUP CLOVIS INC (NPI 1831170745) is a healthcare organization registered as a general practice in Clovis, California and active in the NPI registry since November 2005. The organization lists Lee Roy Copeland, President, as its authorized official.

NPPES Registry Identity

NPI1831170745
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePEACHWOOD MEDICAL GROUP CLOVIS INC
Location Address275 W HERNDON AVEClovis, CA 93612-0204
Mailing Address275 W Herndon AveClovis, CA 93612-0204 · (559) 324-6200 · Fax (559) 324-6280
Fax(559) 324-6280
Organization SubpartNo
Authorized OfficialLee Roy CopelandPresident · (559) 324-6200
Enumeration DateNovember 8, 2005
Last NPPES UpdateMarch 23, 2010
NPI 1831170745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
275 W HERNDON AVE, Clovis, CA 93612

Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ47189ZCA · Medicare Group Number
MedicaidGR0066590CA

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

Other Providers at the Same Location NPPES 20

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

Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Internal Medicine
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Pediatrics)
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant (Medical)
275 W HERNDON AVE
CLOVIS, CA 93612

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 Peachwood Medical Group Clovis Inc's NPI number?

The NPI number for Peachwood Medical Group Clovis Inc is 1831170745. It was assigned to this organization in the NPPES registry on November 8, 2005.

Where is Peachwood Medical Group Clovis Inc located?

Peachwood Medical Group Clovis Inc is located at 275 W Herndon Ave, Clovis, CA 93612. The listed phone number is (559) 324-6200.

What is Peachwood Medical Group Clovis Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Peachwood Medical Group Clovis Inc was last updated on March 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.