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

Prospice Medical Group Corporation

Organization Neurological Surgery Physician · NPI 1750562336

Prospice Medical Group Corporation is a Neurological Surgery Physician in Fresno, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

4770 N Cedar Ave
Fresno, CA 93726-1065
Phone: (559) 226-6824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence C35999 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence G10280 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A46453 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A40212 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence A77502 (CA)

Record details

NPI number1750562336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Shortz — Chief Executive Officer · (510) 932-6208
NPI enumeratedNovember 23, 2007
Last updated in NPPESMarch 30, 2008
Mailing address3065 Richmond Pkwy, Suite 102, Richmond, CA 94806-5719

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