Active NPI
Wen Fang Yuan, ACNP
- Acute Care Nurse Practitioner
- Fresno, CA
National Provider Identifier
1033460258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 22274
- Practice address
- 2335 E Kashian LN
Suite 301
Fresno, CA 93701-2230 - Phone
- (559) 320-0530
- Fax
- (559) 320-0532
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 515715 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 22274 | CA | Primary |
| Nurse Practitioner | 363L00000X | NP22274 | CA |
Addresses
Primary practice location
2335 E Kashian LN
Suite 301
Fresno, CA 93701-2230
Mailing address
4910 E Clinton Way
Suite 101
Fresno, CA 93727-1560
Phone (559) 443-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515715 | CA | MD | Registered Nurse |
| 22274 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1033460258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E CLINTON WAY",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271560",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 E KASHIAN LN",
"address_2": "SUITE 301",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012230",
"telephone_number": "559-320-0530",
"fax_number": "559-320-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "WEN",
"middle_name": "FANG",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "515715",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "22274",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP22274",
"primary": false
}
],
"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 Nov 2, 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.