Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Source Medical LLC

Organization Nursing Care Agency · NPI 1801628680

Main Source Medical LLC is a Nursing Care Agency in Fresno, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 E Trenton Ave
Fresno, CA 93720-3924
Phone: (805) 453-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1801628680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Ibrahim — Ceo · (800) 601-6571
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address2155 E Trenton Ave, Fresno, CA 93720-3924

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