9163 LLC
Organization Active NPI Lodging Provider · Fresno, CA
NPI 1134078751 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1134078751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Lodging Provider 177F00000X
- Legal business name
- 9163 LLC
- Practice address
- 4080 N Blackstone Ave
Fresno, CA 93726-3805 - Phone
- (559) 270-5813
- NPI assigned
- Jan 26, 2026
- Organization subpart
- No
Authorized official
- Name
- Mr. Jatin Patel, BA
- Title
- Chief Operating Officer
- Phone
- (559) 270-5813
National Provider Directory
Locations
4080 N Blackstone Ave
Fresno, CA 93726
Phone (559) 270-5813
4721 W Jennifer Ave
Ste 11
Fresno, CA 93722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | Yes |
Addresses
Primary practice location
4080 N Blackstone Ave
Fresno, CA 93726-3805
Mailing address
4721 W Jennifer Ave Ste 11
Fresno, CA 93722-6499
Phone (559) 270-5813
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.