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DIVINE MEDICAL WELLNESS CENTER INC
NPI 1972920098
General Practice in Fresno, CA

Active since March 26, 2014
5150 N 6TH ST STE 100, FRESNO, CA 93710(559) 222-5362 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Medical Wellness Center Inc NPPES

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

DIVINE MEDICAL WELLNESS CENTER INC (NPI 1972920098), doing business as Divine Medical Wellness Center, is a healthcare organization registered as a general practice in Fresno, California and active in the NPI registry since March 2014. The organization lists Randall Lynn Roulund, President, as its authorized official.

NPPES Registry Identity

NPI1972920098
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDIVINE MEDICAL WELLNESS CENTER INC
Location Address5150 N 6TH ST STE 100Fresno, CA 93710-7505
Mailing Address5150 N 6th St Ste 100Fresno, CA 93710-7505 · (559) 222-5362 · Fax (559) 222-5028
Phone(559) 222-5362
Organization SubpartNo
Authorized OfficialRandall Lynn RoulundPresident · (559) 222-5362
Enumeration DateMarch 26, 2014
✔ NPI 1972920098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedChiropractorTaxonomy 111N00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5150 N 6TH ST STE 100, Fresno, CA 93710
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Other Names 1

Former Legal Business NameDivine Medical Wellness Center

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 4

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

DR. ALEXIS SANCHEZ DC
Chiropractor
5150 N 6TH ST STE 100
FRESNO, CA 93710
Fresno County (559) 222-5362
DR. RANDALL LYNN ROULUND D.C.
Chiropractor
5150 N 6TH ST STE 100
FRESNO, CA 93710
Fresno County (559) 222-5362
KAYSEE GEPILA CLINDININ NP
Nurse Practitioner (Family)
5150 N 6TH ST STE 100
FRESNO, CA 93710
Fresno County (559) 543-9602
LINDSAY SHERFIELD NP
Nurse Practitioner
5150 N 6TH ST STE 100
FRESNO, CA 93710
Fresno County (559) 222-5362

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 Divine Medical Wellness Center Inc's NPI number?

The NPI number for Divine Medical Wellness Center Inc is 1972920098. It was assigned to this organization in the NPPES registry on March 26, 2014. The provider was formerly known as Divine Medical Wellness Center.

Where is Divine Medical Wellness Center Inc located?

Divine Medical Wellness Center Inc is located at 5150 N 6th St Ste 100, Fresno, CA 93710. The listed phone number is (559) 222-5362.

What is Divine Medical Wellness Center 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 Divine Medical Wellness Center Inc was last updated on March 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.