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

Roger Bruce Mortimer, MD

Individual provider Family Medicine Physician · NPI 1871601468

Roger Bruce Mortimer, MD is a Family Practice in Fresno, California. Qualified in 1991, 35 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
35
Licensed in
CA
In the registry since
2006
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

290 N Wayte Ln
Fresno, CA 93701-2124
Phone: (866) 342-6012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2823 Fresno St, Fresno, CA 93721-1324 — (559) 499-6450

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A51178 (CA)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence A51178 (CA)

Record details

NPI number1871601468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 1991 (35 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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