NPPES file of Aug 9, 2026

Spruce Multispeciatly Group in Fresno, CA

This organization bills under NPI 1346375136, an organization record issued on Feb 22, 2007 with the primary taxonomy Internal Medicine Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1346375136
Legal name
Spruce Multispeciatly Group
Entity
Type 2 · organization
Primary taxonomy
Internal Medicine Physician 207R00000X
Practice location
1275 E SPRUCE AVE SUITE 101, Fresno, CA 93720
Phone
559-226-0848
Enumerated
Feb 22, 2007
Record updated
Feb 12, 2026
Authorized official
Office Supervisor (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

2 clinicians CMS lists with Spruce Multispeciatly Group in Fresno

  1. Dickran Gulesserian, MDInternal Medicine Physician1336287440
  2. Michael Lynch, MDInternal Medicine Physician1679612436

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the California secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207R00000X Internal Medicine Physician
  • 207R00000X Internal Medicine Physician
  • 207R00000X Internal Medicine Physician
  • 207R00000X Internal Medicine Physician
  • 207RG0100X Gastroenterology Physician
  • 2084N0400X Neurology Physician

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.