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California State University Fresno Athletic Corporation

Sports Medicine (Family Medicine) Physician in Fresno, CA · enumerated 2012 · authorized official Betsy Mosher, Director of Athletics.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205186061

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Registry record

Entity type Organization (Type 2)
Legal business name California State University Fresno Athletic Corporation
Practice address 1620 E Bulldog Ln, Fresno, CA, 93740
Phone (559) 278-4170
Fax (559) 278-8355
Enumeration date Sep 19, 2012
Last updated in NPPES Sep 19, 2012

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Betsy Mosher
Title Director of Athletics
Phone (559) 278-4905

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is California State University Fresno Athletic Corporation?
California State University Fresno Athletic Corporation is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-19.