Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prospice Medical Group Corporation

Organization Neurological Surgery Physician · NPI 1750562336

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

Licensed in
CA
In the registry since
2007
Specialties on file
5

Practice location Address checks out

4770 N Cedar Ave
Fresno, CA 93726-1065 Not confirmed with CMS for 18 years — call before visiting
Phone: (559) 226-6824
Show map & directions

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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