Active NPI
Ali Rezapour, M.D., Inc.
- Specialist
- Fresno, CA
National Provider Identifier
1104013002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A05242
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Clovis, CA
- NPI 1427011964
-
- Family Medicine Physician
- Clovis, CA
- NPI 1336173848
-
- Internal Medicine Physician
- Concord, CA
- NPI 1043370224
-
- Family Nurse Practitioner
- Canton, OH
- NPI 1548740459
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.