MEDICARE: NORTH FRESNO PRIMARY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A112939	CA

General Provider Information

NPI Number	:	1245527357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH FRESNO PRIMARY CARE INC

Provider Business Mailing Address
First Line	:	7025 N CHESTNUT AVE STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0351
Country	:	US
Telephone Number	:	559-252-7301
Fax Number	:	559-252-1419

Provider Business Practice Location Address
First Line	:	7025 N CHESTNUT AVE STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0351
Country	:	US
Telephone Number	:	559-252-7301
Fax Number	:	559-252-1419

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. ALBERTO RUVALCABA
Credential	:	MD
Telephone Number	:	559-908-5906

Provider Enumeration Date	:	07/09/2011
Last Update Date	:	03/04/2026

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