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

Kelly Pataca

Individual provider Family Nurse Practitioner · NPI 1285235713

Kelly Pataca is a Nurse Practitioner in Fresno, California. Qualified in 2020, 6 years ago. Practices with Community Foundation Medical Group, a 284-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

6095 N 1st St
Fresno, CA 93710-5444
Phone: (559) 446-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015791 (CA)

Record details

NPI number1285235713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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