Organization Active NPI

Harvey L. Edmonds, M.D. Inc

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1134493349
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G24725 Issued in CA
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

Updated by the provider on Mar 6, 2012

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G247250OtherMEDICAL PROV NO
4136936OtherMEDICAL UPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.