California State University Fresno Athletic Corporation
NPI 1205186061ActiveOrganization· Family Medicine, Sports Medicine· Fresno, CA
Family Medicine, Sports Medicine in Fresno, California, registered in NPPES in September 2012. The authorized official on file is Betsy Mosher, Director Of Athletics.
Overview
| NPI | 1205186061 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2012 |
| Last updated in NPPES | Sep 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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