Organization Active NPI

Fresno Prosthetic Inc

  • Prosthetics Case Management
  • Fresno, CA
National Provider Identifier
1003866088
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
FRESNO PROSTHETIC INC
Practice address
4832 N 1St St
Ste 102
Fresno, CA 93726-0524
Phone
(559) 225-2400
Fax
(559) 225-3529
NPI assigned
May 11, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. William Michael King, ABC CP003235
Title
Owner
Phone
(559) 225-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

4832 N 1St St
Ste 102
Fresno, CA 93726-0524

Mailing address

4832 N 1St St
Ste 102
Fresno, CA 93726-0524
Phone (559) 225-2400

National Provider Directory

National Provider Directory

Locations

4832 N 1st St
Ste 102
Fresno, CA 93726
Phone (559) 225-2400

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003866088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 N 1ST ST",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260524",
            "telephone_number": "559-225-2400",
            "fax_number": "559-225-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 N 1ST ST",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260524",
            "telephone_number": "559-225-2400",
            "fax_number": "559-225-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO PROSTHETIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-225-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABC CP003235"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2008; 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.