Active NPI
Khaoula Braidi
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1114735743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5130 E Clinton Way
Fresno, CA 93727-2014 - Phone
- (805) 885-0255
- NPI assigned
- Dec 30, 2024
- Last updated
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5130 E Clinton Way
Fresno, CA 93727-2014
Mailing address
5130 E Clinton Way
Fresno, CA 93727-2014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1114735743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 E CLINTON WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937272014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 E CLINTON WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937272014",
"telephone_number": "805-885-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAIDI",
"first_name": "KHAOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Leche June Bradshaw
- Sierra Brady, RN MSN CNS/NURSE ED.
- Harneet Braich
- Jaspinder Singh Braich
- Ravneet Braich
- Brain Power Learning Center
- Brain Power Neuro Psychological Learning Center (Brain Power Learning Center)
- America Bram Arguello
- Catherine Momjian Bramanti, PHARM.D., M.B.A.
- Thomas E Bramanti Sr., DDS, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.