Organization Active NPI

Chestnut Medical Group of Fresno

  • Specialist
  • Fresno, CA
National Provider Identifier
1073853636
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHESTNUT MEDICAL GROUP OF FRESNO
Practice address
1348 W Herndon Avenue
Suite 101
Fresno, CA 93711-7181
Phone
(559) 573-7260
Fax
(559) 573-7254
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Uma M Rao, MD
Title
Owner
Phone
(559) 573-7260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1348 W Herndon Avenue
Suite 101
Fresno, CA 93711-7181

Mailing address

1348 W Herndon Avenue
Suite 101
Fresno, CA 93711-7181
Phone (559) 573-7260

National Provider Directory

National Provider Directory

Locations

7035 N Chestnut Ave
Ste 105
Fresno, CA 93720
Phone (559) 323-4637

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1073853636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 W HERNDON AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117181",
            "telephone_number": "559-573-7260",
            "fax_number": "559-573-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 W HERNDON AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117181",
            "telephone_number": "559-573-7260",
            "fax_number": "559-573-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT MEDICAL GROUP OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "UMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-573-7260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jun 4, 2021; 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.