Active NPI
James Lee Burdeshaw
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1083589204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95035982
- Practice address
- 3656 W Shaw Ave
Fresno, CA 93711-3231 - Phone
- (559) 388-8430
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95035982 | CA | Primary |
Addresses
Primary practice location
3656 W Shaw Ave
Fresno, CA 93711-3231
Mailing address
2021 Herndon Ave Ste 101
Clovis, CA 93611-6316
Phone (559) 797-4315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3656 W Shaw Ave
Fresno, CA 93711-3231
4189 Sierra Madre Ave
Clovis, CA 93619-5239
510 Thornall St
Suite 100
Edison, NJ 08837-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95035982 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Dreams Medical Corporation PC | Current | Accepting new patients |
Locations
3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Fresno, CA
- NPI 1487299699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1083589204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 HERNDON AVE STE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116316",
"telephone_number": "559-797-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3656 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113231",
"telephone_number": "559-388-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDESHAW",
"first_name": "JAMES",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95035982",
"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 Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.