Apai Polyudhapoom

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A48979 Issued in CA

Practice address

3233 N Chestnut Ave
Ste 102
Fresno, CA 93726-6441

Phone

(559) 233-1188

Fax

(559) 233-1189

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fresno Healthcare Center, Inc.

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1013423599
  NPD (past)
• Fresno Healthcare Center, Inc.

  • General Practice Physician
  • Fresno, CA
  • NPI 1932690963
  NPD (past)
• Greater Fresno Health Organization Inc.

  dba North Marks Medical Clinic

  • Clinic/Center
  • Fresno, CA
  • NPI 1184049793
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1093885915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033031",
            "telephone_number": "559-233-1188",
            "fax_number": "559-233-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N CHESTNUT AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266441",
            "telephone_number": "559-233-1188",
            "fax_number": "559-233-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYUDHAPOOM",
        "first_name": "APAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema M Policepatil, MD
• Rachel Joy Polines
• Anupama Poliyedath, MD
• Hillary Polk
• Lori Pollard, LMFT
• Krystal Pombo, CNS
• Albert Pomerantz, DDS
• Gila Rachel Pomerantz, MSW
• Lucy Pon, PHARMD
• Angel Ponce, R. D.

• General Practice Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.