Organization Active NPI

Param S Fagoora MD Inc

Doing business as Clear Vision Medical Center

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1083874218
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00A304860 Issued in CA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Paramjit S Fagoora, MDNPI 1356376958
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A304860MedicaidCA

Other names 1

  • Clear Vision Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090609000294 CA Part B Supplier - Clinic/Group Practice 3173673423 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.