MEDICARE: OPTIMAL MEDICAL GROUP, 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	261QM1300X	Multi-Specialty Clinic/Center
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1659066785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	7206 N MILBURN AVE # 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-8450
Country	:	US
Telephone Number	:	559-840-0066
Fax Number	:	559-272-0479

Provider Business Practice Location Address
First Line	:	7206 N MILBURN AVE # 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-8450
Country	:	US
Telephone Number	:	559-840-0066
Fax Number	:	559-272-0479

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KELLI VINUELA
Credential	:
Telephone Number	:	559-908-8158

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/05/2023

Similar Medicare Providers

1457322067 — DR. LUCIA MIRELES-CHAVEZ M.D.
Practice Location Address:

7206 N MILBURN AVE STE 106
FRESNO, CA
93722-8450

Practice Phone: 559-840-0066
Practice Fax: 559-272-0479

1588603369 — DR. SANJAY S SRIVATSA MD
Practice Location Address:

7206 N MILBURN AVE STE 105
FRESNO, CA
93722-8450

Practice Phone: 559-224-5003
Practice Fax:

1912142332 — REBOUND PHYSICAL THERAPY INC.
Practice Location Address:

7206 N MILBURN AVE , SUITE 102
FRESNO, CA
93722-8450

Practice Phone: 559-271-3100
Practice Fax: 559-271-3113

1154726248 — ABIGAIL OGLE NP
Practice Location Address:

7206 N MILBURN AVE STE 105
FRESNO, CA
93722-8450

Practice Phone: 559-224-5003
Practice Fax:

1447603139 — JENNIFER TROST PA-C, MPH
Practice Location Address:

7206 N MILBURN AVE , SUITE 105
FRESNO, CA
93722-8450

Practice Phone: 559-224-5003
Practice Fax:

1952173643 — SHANNAE SALAS FNP-C
Practice Location Address:

7206 N MILBURN AVE # 106A
FRESNO, CA
93722-8450

Practice Phone: 559-840-0066
Practice Fax:

Directions to “OPTIMAL MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.