Divine Medical Wellness Center Inc
NPI 1972920098ActiveOrganization· General Practice· Fresno, CA
General Practice in Fresno, California, registered in NPPES in March 2014. The authorized official on file is Randall Lynn Roulund, DC, President. Enrolled in Medicare as dme supplier - physician - general surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1972920098 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2014 |
| Last updated in NPPES | Mar 26, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other General Practice providers in Fresno
- 1043513526
- 1225251127
- 1295975274
- 1457689879
- 1821462904
- 1912221748
- 1730909979
- 1073182135
- 1932690963
- 1669547345
- 1255680229
- 1609112499