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

Mildrede N Bonglack, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1134612013

Mildrede N Bonglack, MD is an Obstetrics/Gynecology in Fresno, California. Graduated from University of Cincinnati College of Medicine in 2018, 8 years ago. Practices with Central California Faculty Medical Group Inc, a 254-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
University of Cincinnati College of Medicine
Licensed in
CA
In the registry since
2018
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

2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184
Phone: (559) 443-2694
Fax: (559) 443-2696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 797 W Childs Ave, Merced, CA 95341-6805 — (209) 384-6498

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence A204492 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A204492 (CA)

Record details

NPI number1134612013
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Central California Faculty Medical Group Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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