California State University Fresno Athletic Corporation
NPI 1205186061 · Sports Medicine (Family Medicine) Physician · Fresno, CA
California State University Fresno Athletic Corporation is a Sports Medicine (Family Medicine) Physician organization in Fresno, CA (NPI 1205186061).
Provider details
- NPI number
- 1205186061
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Betsy Mosher, Director of Athletics(559) 278-4905
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2012-09-19
Frequently asked questions
- What is California State University Fresno Athletic Corporation's NPI number?
- California State University Fresno Athletic Corporation's National Provider Identifier (NPI) is 1205186061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California State University Fresno Athletic Corporation?
- California State University Fresno Athletic Corporation is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is California State University Fresno Athletic Corporation located?
- California State University Fresno Athletic Corporation's practice location on file with NPPES is 1620 E Bulldog Ln, Fresno, CA 93740-0001.
- What is California State University Fresno Athletic Corporation's phone number?
- The practice phone number listed in the NPPES registry for California State University Fresno Athletic Corporation is (559) 278-4170.
- Who is the authorized official for California State University Fresno Athletic Corporation?
- The authorized official listed on California State University Fresno Athletic Corporation's NPPES record is Betsy Mosher, Director of Athletics. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California State University Fresno Athletic Corporation's NPI active?
- Yes — California State University Fresno Athletic Corporation's NPI (1205186061) is active in the NPPES registry as of the last update on 2012-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.