Organization Active NPI

Prem D. Singh, M.D. & Assoc

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1093852659
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PREM D. SINGH, M.D. & ASSOC
Practice address
2210 E Illinois Ave
Suite 206
Fresno, CA 93701-2125
Phone
(559) 264-2504
Fax
(559) 264-3707
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Prem Deep Singh, M.D.
Title
Owner
Phone
(559) 264-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2210 E Illinois Ave
Suite 206
Fresno, CA 93701-2125

Mailing address

2210 E. Illinois
Suite 206
Fresno, CA 93701-2166
Phone (559) 264-2504

Other identifiers 1

IdentifierTypeStateIssuer
GR0069900MedicaidCA

National Provider Directory

National Provider Directory

Locations

2210 E Illinois Ave
Ste 206
Fresno, CA 93701
Phone (559) 264-2504

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1093852659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E. ILLINOIS",
            "address_2": "SUITE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012166",
            "telephone_number": "559-264-2504",
            "fax_number": "559-264-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE",
            "address_2": "SUITE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012125",
            "telephone_number": "559-264-2504",
            "fax_number": "559-264-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM D. SINGH, M.D. & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "DEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-264-2504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0069900",
            "state": "CA"
        }
    ],
    "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 Jan 16, 2015; 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.