Healthcare Provider Details

I. General information

NPI: 1326591041
Provider Name (Legal Business Name): FERNANDO KAMALEI CRUZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2473 E FIR AVE
FRESNO CA
93720-0538
US

IV. Provider business mailing address

PO BOX 889442
LOS ANGELES CA
90088-9442
US

V. Phone/Fax

Practice location:
  • Phone: 559-603-7525
  • Fax: 559-603-7528
Mailing address:
  • Phone: 559-603-7372
  • Fax: 559-451-3661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA163889
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: