Individual provider Active NPI

James Lee Burdeshaw

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1083589204
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95035982 Issued in CA
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

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95035982CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Dreams Medical Corporation PC CurrentSince Oct 12, 2025 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.

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.

Verify at the official NPI Registry.