NPIMap

Organization Active NPI

Jason Stutzman

  • Infusion Therapy Clinic/Center
  • Fresno, CA
National Provider Identifier
1003162801
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
21511 Issued in CA
Legal business name
JASON STUTZMAN
Practice address
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone
(559) 459-1615
NPI assigned
Jul 30, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Stutzman, FNP-BCNPI 1619224508
Title
Nurse Practitioner
Phone
(559) 321-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 21511 CA Primary
Primary Care Clinic/Center 261QP2300X 21511 CA

Addresses

Primary practice location

1925 E Dakota Ave
Fresno, CA 93726-4821

Mailing address

1925 E Dakota Ave
Fresno, CA 93726-4821

Other names 1

  • Ambulatory Infusion Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Fresno Community Hospit22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1003162801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-459-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON STUTZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "STUTZMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "559-321-6211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "21511",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "21511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Infusion Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.