Organization Active NPI

August R Gerdes MD Inc

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1154431260
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C23741 Issued in CA
Legal business name
AUGUST R GERDES MD INC
Practice address
5375 N Palm
Fresno, CA 93704
Phone
(559) 431-0210
Fax
(559) 431-2457
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. August Raymond Gerdes, MD
Title
President
Phone
(559) 431-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C23741 CA Primary

Addresses

Primary practice location

5375 N Palm
Fresno, CA 93704

Mailing address

5375 N Palm
Fresno, CA 93704
Phone (559) 431-0210

National Provider Directory

National Provider Directory

Locations

5375 N Palm Ave
Fresno, CA 93704
Phone (559) 431-0210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1154431260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 N PALM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-431-0210",
            "fax_number": "559-431-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 N PALM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-431-0210",
            "fax_number": "559-431-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST R GERDES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-431-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C23741",
            "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 3, 2009; 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.