Organization · Type 2 NPI

Community Foundation Medical Group

Foot & Ankle Surgery Podiatrist · Clovis, CA

NPI number 1821761743 Active

Practice location

1516 Shaw Ave
Clovis, CA 93611-4028

Call (559) 228-5400 Map

Mailing address

PO Box 28949
Fresno, CA 93729-8949

Other practice locations

7370 N Palm Ave Ste 101, Fresno, CA 93711-5782 · (559) 228-5400

Specialties and licenses

Taxonomy	Code	License
Podiatrist	213E00000X	None listed
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed
Foot Surgery Podiatrist	213ES0131X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

NPI record

NPI: 1821761743
Entity type: Organization (Type 2)
Issued: Jul 27, 2021
Last updated: Feb 14, 2022
Status: Active
Subpart: Yes of Community Foundation Medical Group

Other names

<unavail>
Sante' Foundation Medical Group · doing business as
Sante' Foundation Medical Group · doing business as

Authorized official

Mr. Scott B Wells
CEO/president
(559) 228-5429

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1821761743

Community Foundation Medical Group's National Provider Identifier is 1821761743, issued on Jul 27, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Clovis, CA. The record was last updated on Feb 14, 2022.