Active NPI
Amsurg Fresno Ca Anesthesia LP
- Anesthesiology Physician
- Fresno, CA
National Provider Identifier
1104246065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AMSURG FRESNO CA ANESTHESIA LP
- Practice address
- 7055 N Fresno St
Suite 100
Fresno, CA 93720-2957 - Phone
- (559) 440-9100
- Fax
- (559) 448-8363
- NPI assigned
- Apr 18, 2014
- Organization subpart
- No
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1932500303
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140930001363 | CA | Part B Supplier - Clinic/Group Practice | 8729208566 |
Receives reassigned benefits from 29 practitioners Practice locations: Fresno, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip A Clendenin
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
7055 N Fresno St
Suite 100
Fresno, CA 93720-2957
Mailing address
1A Burton Hills Blvd
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 240-3809
NPI Registry JSON
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1104246065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156187",
"telephone_number": "615-240-3809",
"fax_number": "615-234-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 N FRESNO ST",
"address_2": "SUITE 100",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202957",
"telephone_number": "559-440-9100",
"fax_number": "559-448-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMSURG FRESNO CA ANESTHESIA LP",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-18",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "CLENDENIN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"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 Aug 9, 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.