Active NPI
Param S Fagoora MD Inc
Doing business as Clear Vision Medical Center
- Ophthalmology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00A304860
- Legal business name
- PARAM S FAGOORA MD INC
- Doing business as
- Clear Vision Medical Center
- Practice address
- 5359 N Fresno St
Suite 101
Fresno, CA 93710-6831 - Phone
- (559) 439-2040
- Fax
- (877) 425-1429
- NPI assigned
- Jun 11, 2008
- Last updated
- Mar 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paramjit S Fagoora, MD
- Title
- President
- Phone
- (559) 439-2040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00A304860 | CA | Primary |
Addresses
Primary practice location
5359 N Fresno St
Suite 101
Fresno, CA 93710-6831
Mailing address
5359 N Fresno St
Suite 101
Fresno, CA 93710-6831
Phone (559) 439-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A304860 | Medicaid | CA |
Other names 1
- Clear Vision Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1234 P St
Fresno, CA 93721
347 E Barstow Ave
Ste 104
Fresno, CA 93710
Phone (559) 226-0323
5359 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 439-2040
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": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1083874218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5359 N FRESNO ST",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106831",
"telephone_number": "559-439-2040",
"fax_number": "877-425-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 N FRESNO ST",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106831",
"telephone_number": "559-439-2040",
"fax_number": "877-425-1429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAM S FAGOORA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "FAGOORA",
"authorized_official_first_name": "PARAMJIT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-439-2040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "00A304860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A304860",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clear Vision Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.