NPIMap

Organization Active NPI

Advanced Laparoscopic Surgery Associates Medical Group Inc

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1114980034
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G53771 Issued in CA
Legal business name
ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES MEDICAL GROUP INC
Practice address
205 E River Park Cir
#460
Fresno, CA 93720-1571
Phone
(559) 261-4500
NPI assigned
Apr 11, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Kelvin M Higa, MD
Title
President
Phone
(559) 228-5448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G53771 CA Primary

Addresses

Primary practice location

205 E River Park Cir
#460
Fresno, CA 93720-1571

Mailing address

PO Box 28947
Fresno, CA 93729-8947
Phone (559) 228-5448

Other identifiers 2

IdentifierTypeStateIssuer
GR0098660MedicaidCA
ZZZ26512ZOtherCAMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1114980034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28947",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298947",
            "telephone_number": "559-228-5448",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E RIVER PARK CIR",
            "address_2": "#460",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201571",
            "telephone_number": "559-261-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "HIGA",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-228-5448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G53771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ26512Z",
            "state": "CA"
        }
    ],
    "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 Feb 13, 2013; 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.