July 8, 2015 - Announcement: Physician Retirement, Spine & Orthopedic Medical Practice Closure

Please be advised that because of retirement I am discontinuing the practice of medicine on September 30, 2015. I will not be able to provide medical care after that date.

I recommend that patients find another health care provider to take care of you. Your primary care physician and/or healthcare insurance company can assist you with obtaining a qualified individual that meets your specific needs.

Your confidential medical records are available to you. Please call our office at 559-449-7645 during business hours, Monday-Thursday 8:00am to 5:00pm, before September 30, 2015. After this date please contact (559) 436-4500. A guardian of medical records will supply them to you after a signed authorization request and payment are received.

I am sorry that I cannot continue as your physician. I extend to you my best wishes for your future health and happiness.


Paul James Nugent, MD, MPH