Look up the most recent NPI and PECOS records

Comprehensive Medical Partners

Family Medicine

Allopathic & Osteopathic Physicians

2561 Stonecrest Way, Hanford, CA 93230-8508

PECOS Enrollment

Based on the most recent information from CMS, provider Comprehensive Medical Partners does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1376204594
Provider Type
Organization
Full Name
Comprehensive Medical Partners

Subpart
No
Enumeration Date
1/10/2022
Last Updated
1/10/2022

Contact Information

Practice Location

2561 Stonecrest Way, Hanford, CA 93230-8508

(972) 679-5749

Unlisted Fax

Mailing Location

2561 Stonecrest Way, Hanford, CA 93230-8508

(972) 679-5749

Unlisted Fax

Authorized Official

Bong, Juyong (Ceo)

(972) 679-5749

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Comprehensive Medical Partners

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Hernandez Duran, Jose Javier

De Castro, Jacqueline Gaerlan

Knudson, Allan A

Sidhu, Paramvir S

Castillo, Romeo C.

Kelly-Motamed, Jillian Aileen

Leon, Samuel O

Hanford Regional Physicians Group, Inc

Excellence Medical Group Inc

Melashenko, Kenneth W