Individual provider Active NPI

Arlene Putnam

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1023314523
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95030619 Issued in CA
Practice address
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone
(559) 453-1008
Fax
(559) 453-2805
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95183647 CA
Family Nurse Practitioner 363LF0000X NP95030619 CA Primary

Addresses

Primary practice location

4411 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

1745 N Jennie Lake TRL
Hanford, CA 93230-8890
Phone (559) 701-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004001811 CA Practitioner - Nurse Practitioner 6901337666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eric N. Sorensen M.D. Inc.Group PAC ID 3072401488, 6 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1028 N Douty St
Hanford, CA 93230-3723
Phone (559) 589-6420

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95030619CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eric N Sorensen M.D. Inc. CurrentSince Sep 1, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Central Coast Urgent Care Inc CurrentSince Sep 1, 2024 Accepting new patients
Cep America-California CurrentSince Nov 1, 2024 Accepting new patients
Cep America- California CurrentSince Nov 1, 2024 Accepting new patients

Locations

9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1028 N Douty St
Ofc 1
Hanford, CA 93230
Phone (559) 530-2526

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1028 N Douty St
Ste B
Hanford, CA 93230
Phone (559) 589-6420

1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1023314523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N JENNIE LAKE TRL",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932308890",
            "telephone_number": "559-701-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008",
            "fax_number": "559-453-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95183647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95030619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.