Active NPI
Harvey L. Edmonds, M.D. Inc
- Neurology Physician
- Fresno, CA
National Provider Identifier
1134493349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G24725
- Legal business name
- HARVEY L. EDMONDS, M.D. INC
- Practice address
- 728 E Ballard Avenue
Suite 104
Fresno, CA 93710 - Phone
- (559) 436-9800
- Fax
- (559) 436-9804
- NPI assigned
- Mar 6, 2012
- 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
- Harvey Lawrence Edmonds, M.D.
- Title
- Owner/President
- Phone
- (559) 436-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G24725 | CA | Primary |
Addresses
Primary practice location
728 E Ballard Avenue
Suite 104
Fresno, CA 93710
Mailing address
728 E Ballard Avenue
Suite 104
Fresno, CA 93710
Phone (559) 436-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G247250 | Other | MEDICAL PROV NO | |
| 4136936 | Other | MEDICAL UPIN |
National Provider Directory
National Provider DirectoryLocations
728 E Bullard Ave
Ste 104
Fresno, CA 93710
Phone (559) 436-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1134493349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 E BALLARD AVENUE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-436-9800",
"fax_number": "559-436-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 E BALLARD AVENUE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-436-9800",
"fax_number": "559-436-9804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVEY L. EDMONDS, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "EDMONDS",
"authorized_official_first_name": "HARVEY",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "559-436-9800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G24725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROV NO",
"identifier": "00G247250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL UPIN",
"identifier": "4136936",
"state": null
}
],
"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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.