Organization Active NPI

Csreder MD,Inc

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1073502654
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CSREDER MD,INC
Practice address
1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305
Phone
(559) 432-4200
Fax
(559) 432-0147
NPI assigned
Oct 17, 2005
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Chad Sherwood Reder, MDNPI 1336138924
Title
President
Phone
(559) 432-4200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305

Mailing address

1680 E Herndon Ave
Ste 101
Fresno, CA 93720-3305
Phone (559) 432-4200

Other identifiers 1

IdentifierTypeStateIssuer
GR0099900MedicaidCA

Other names 1

  • Valley Eye Institute Medical Clinic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CREDER@Valleyeinstitute.intellechartdirect.net

National Provider Directory

National Provider Directory

Locations

115 N Irwin St
Hanford, CA 93230
Phone (559) 432-4200

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1073502654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203305",
            "telephone_number": "559-432-4200",
            "fax_number": "559-432-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203305",
            "telephone_number": "559-432-4200",
            "fax_number": "559-432-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSREDER MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "REDER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "SHERWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099900",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CREDER@Valleyeinstitute.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1680 E Herndon Ave",
            "address_2": "Ste 101",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937203305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Eye Institute Medical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Valley Eye Institute Medical Clinic",
            "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 Dec 9, 2020; 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.