NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
NPI 1639100118
Emergency Medicine in Fresno, CA
NPI Status: Active since July 05, 2006
Contact Information
1303 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 450-3205
- Organization
- Emergency Medicine
- CLIA Number: 05D2036285
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-05-2026
About NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for North Fresno Emergency Physicians Medical Group, a provider established in Fresno, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1639100118 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. North Fresno Emergency Physicians Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Blake C Schug Md (President)
- NPI
- 1639100118
- Provider Name
- NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1303 E HERNDON AVE FRESNO, CA 93720
- Location Phone
- (559) 450-3205
- Mailing Address
- PO BOX 28951 FRESNO, CA 93729
- Mailing Phone
- (888) 398-1370
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2006
- Last Update Date
- 09-28-2009
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ34627Z | OTHER (01) | BLUE SHIELD | |
| ZZZ34627Z | MEDICARE PIN (08) | CA | |
| ========= | OTHER (01) | CHAMPUS | |
| 204042 | OTHER (01) | US DEPT OF LABOR/ENERGY | |
| 183701800 | OTHER (01) | US DEPT OF LABOR/WC | |
| GR0053910 | MEDICAID (05) | CA | |
| CR0087 | MEDICARE PIN (08) |
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
- 05D2036285
- Facility Type
- Physician Office
- Certificate Effective Date
- February 06, 2024
- Certificate Expiration Date
- February 05, 2026
- Laboratory Director
- IGNACIO GUZMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Fresno Emergency Physicians Medical Group 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.
Reviews for NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 0 | 0 | 1 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 0 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 0 + 0 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1639100118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023068798 | VALLEY NUCLEAR MEDICAL GROUP Organization | Nuclear Medicine (Nuclear Imaging & Therapy) | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 449-3109 |
| 1295786176 | BYUNG J CHUNG MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3695 |
| 1811944010 | DR. PETER DORNHOFER M.D. Individual | Emergency Medicine | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3205 |
| 1811944028 | DR. JANET DOWIS M.D. Individual | Emergency Medicine | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3205 |
| 1497791412 | LYNDA A FRANCIS NP Individual | Nurse Practitioner | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3205 |
| 1073540449 | SAM FERNANDEZ N.P. Individual | Nurse Practitioner | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3205 |
| 1811929425 | JOHN F CORBIN M.D. Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1285666941 | LARS BJORKMAN M.D. Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1518999200 | SUNG CHAE M.D. Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1548292253 | TARA CHAUDHARI M.D. Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1396777801 | KENNETH A IKEMIYA MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1013949569 | JOHN S STURMAN MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1548292097 | KANWARJIT S SUFI MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1174555643 | THORMASON YANAGI MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1881626356 | RICHARD R ZUPP MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1396760518 | SUNG-MIN OH MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1013932136 | YANG J KIM MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1003831124 | WILLIAM B ETIZ DO Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1235154360 | HARRY JOE MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
| 1790700813 | RICHARD P FOGDALL MD Individual | Anesthesiology | 1303 E HERNDON AVE FRESNO, CA 93720 (559) 450-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639100118, enumerated in the NPI registry as an "organization" on July 05, 2006
The provider is located at 1303 E Herndon Ave Fresno, Ca 93720 and the phone number is (559) 450-3205
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2036285 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.