OrganizationActive
Staywell Medical Group
NPI 1124567938 · Primary Care Clinic/Center · Fresno, CA
Provider details
- NPI number
- 1124567938
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pavittar Grewal, Director(559) 259-8800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7413 N Cedar Ave Ste 101
Fresno, CA 93720-3833
Phone: (559) 261-1111
Street-level locationGet directions
Mailing address
1805 E Bella Rosa Ave
Fresno, CA 93730-7026
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2017-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.