Provider Demographics
NPI:1245527357
Name:NORTH FRESNO PRIMARY CARE INC
Entity type:Organization
Organization Name:NORTH FRESNO PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUVALCABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-908-5906
Mailing Address - Street 1:1805 E FIR AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3859
Mailing Address - Country:US
Mailing Address - Phone:559-908-5906
Mailing Address - Fax:559-445-0316
Practice Address - Street 1:1805 E FIR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3859
Practice Address - Country:US
Practice Address - Phone:559-908-5906
Practice Address - Fax:559-445-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty