NPIMap

Organization Active NPI

Primary Care Internist Inc

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1083065338
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40921 Issued in CA
Legal business name
PRIMARY CARE INTERNIST INC
Practice address
6700 N 1St St Ste 111
Fresno, CA 93710-3947
Phone
(559) 448-0944
Fax
(559) 448-0904
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Raj K Banka, M.D.
Title
President
Phone
(559) 448-0944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A40921 CA Primary

Addresses

Primary practice location

6700 N 1St St Ste 111
Fresno, CA 93710-3947

Mailing address

6700 N 1St St Ste 111
Fresno, CA 93710-3947
Phone (559) 448-0944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1083065338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST STE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103947",
            "telephone_number": "559-448-0944",
            "fax_number": "559-448-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST STE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103947",
            "telephone_number": "559-448-0944",
            "fax_number": "559-448-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE INTERNIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BANKA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-448-0944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40921",
            "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 28, 2016; 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.