Organization Active NPI

Ali Rezapour, M.D., Inc.

  • Specialist
  • Fresno, CA
National Provider Identifier
1104013002
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A05242 Issued in CA
Legal business name
ALI REZAPOUR, M.D., INC.
Practice address
6769 N Fresno St
Suite # 204
Fresno, CA 93710-3715
Phone
(559) 353-9353
Fax
(559) 261-2610
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Ali Rezapour, M.D.
Title
Owner
Phone
(559) 353-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A05242 CA Primary

Addresses

Primary practice location

6769 N Fresno St
Suite # 204
Fresno, CA 93710-3715

Mailing address

6769 N Fresno St
Suite # 204
Fresno, CA 93710-3715
Phone (559) 353-9353

National Provider Directory

National Provider Directory

Locations

6769 N Fresno St
Ste 204
Fresno, CA 93710
Phone (559) 353-3952

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1104013002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "address_2": "SUITE # 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-353-9353",
            "fax_number": "559-261-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "address_2": "SUITE # 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-353-9353",
            "fax_number": "559-261-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI REZAPOUR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "REZAPOUR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-353-3953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A05242",
            "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 Sep 25, 2007; 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.