MEDICARE: UNIVERSITY FACULTY ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207QA0000X	Adolescent Medicine (Family Medicine) Physician
2	207QA0505X	Adult Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
5	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
6	207Q00000X	Family Medicine Physician
7	207RG0100X	Gastroenterology Physician
8	207RH0003X	Hematology & Oncology Physician
9	207RI0011X	Interventional Cardiology Physician
10	207RI0200X	Infectious Disease Physician
11	207V00000X	Obstetrics & Gynecology Physician
12	208000000X	Pediatrics Physician
13	2084N0400X	Neurology Physician
14	213E00000X	Podiatrist
15	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1073911137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY FACULTY ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2625 E DIVISADERO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1431
Country	:	US
Telephone Number	:	559-443-2682
Fax Number	:	559-334-2681

Provider Business Practice Location Address
First Line	:	2625 E DIVISADERO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93721-1431
Country	:	US
Telephone Number	:	559-443-2682
Fax Number	:	559-443-2681

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIELLE CAMPAGNE
Credential	:	MD
Telephone Number	:	559-443-2682

Provider Enumeration Date	:	12/05/2014
Last Update Date	:	05/26/2021

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Directions to “UNIVERSITY FACULTY ASSOCIATES, INC. ” Practice Location

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