Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michele Meime Maison-Fomotar, MD

Individual provider Internal Medicine Physician · NPI 1407210453

Michele Meime Maison-Fomotar, MD is an Infectious Disease in Fresno, California. Qualified in 2010, 16 years ago. Practices with Central California Faculty Medical Group Inc, a 254-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2335 E Kashian Ln Ste 280
Fresno, CA 93701-2211
Phone: (559) 320-1090
Fax: (559) 320-0331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence A160693 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A160693 (CA)

Record details

NPI number1407210453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Central California Faculty Medical Group Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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