Active NPI
Edgar Ordaz
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1134860489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A22048
- Practice address
- 155 N Fresno St
Fresno, CA 93701-2302 - Phone
- (559) 499-6450
- NPI assigned
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A22048 | CA | Primary |
Addresses
Primary practice location
155 N Fresno St
Fresno, CA 93701-2302
Mailing address
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6450
Other practice location 1
1105 E Spruce Ave Ste 201
Fresno, CA 93720-3313
Phone (559) 450-2630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 E Spruce Ave
Suite 431
Fresno, CA 93720-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- eordaz78772@valleychildrens-prd.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1134860489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-499-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-499-6450"
}
],
"practiceLocations": [
{
"address_1": "1105 E Spruce Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203313",
"country_code": "US",
"telephone_number": "559-450-2630",
"fax_number": "559-450-0351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORDAZ",
"first_name": "EDGAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A22048",
"primary": true
}
],
"identifiers": [],
"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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.