Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Anita Sivasubramanian
City Fresno                     | 
Group SAINT AGNES MEDICAL FOUNDATION                                                                        | 
Specialty Internal Medicine                                   | 
Last Name Sivasubramanian                                                     | 
First Name Anita                                               | 
Address 1303 E. Herndon Ave.                      | 
State CA  | 
Zip Code 93720      | 
Phone (559)450-5756   | 
Hours Mon - Fri 8:00 AM - 5:00 PM                                                                                               | 
Gender F  | 
Title M.D.     | 
Physician ID   090498         | 
Language 1 Hindi                           | 
Language 2 Marathi                         | 
Language 3 Tamil                           | 
Hospital Affiliation Clovis Community Hospital  Community Regional Medical Center Saint Agnes Medical Center  | 
Section Number 4  | 
County FRESNO  | 
Accepting New Patient Yes  | 
PPG NAME SAINT AGNES MEDICAL FOUNDATION                                          | 
PPG ID MFRL9  | 
NPI Number   1447260328   | 
Access Requirement Basic    | 
PARKING_IND P  | 
EXT_BUILD_IND EB  | 
INT_BUILD_IND IB  | 
RESTROOM_IND R  | 
EXAMROOM_IND E  | 
License ID A074387             | 
Board Certified Yes  | 
Self Access Flag Self Reported Data  | 
Panel Status Available by referral only  | 
PHY CCT IND N  | 


