MEDICARE: SCORBY FAMILY ENTERPRISES LLC

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1265375364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCORBY FAMILY ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	5612 N FRESNO ST STE 109
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6182
Country	:	US
Telephone Number	:	559-603-2307
Fax Number	:

Provider Business Practice Location Address
First Line	:	5612 N FRESNO ST STE 109
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6182
Country	:	US
Telephone Number	:	559-603-2307
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM SCORBY
Credential	:
Telephone Number	:	559-467-7776

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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