Dr Ted Y Fisher a Professional Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A052523 Issued in CA

Legal business name

DR TED Y FISHER A PROFESSIONAL CORPORATION

Practice address

628 G St
Brawley, CA 92227-2544

Phone

(760) 344-1101

NPI assigned

Nov 4, 2016

Organization subpart

Yes

Parent organization

DESERT VEIN CLINICAs reported in NPPES

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

Authorized official

Name

Dr. Ted Yoshio Fisher MD, MD

Title

Ceo & President

Phone

(619) 905-1164

Specialties & licenses 1

Addresses

Other names 1

• Desert Vein Clinic ASC Doing business as

Part of

Dr Ted Y Fisher Apc

Locations

Practitioners 1

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

• Ted Yoshio Fisher, M.D.

  • Vascular Surgery Physician
  • Brawley, CA
  • NPI 1538178355
  NPD

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1154873362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272568",
            "telephone_number": "760-344-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272544",
            "telephone_number": "760-344-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TED Y FISHER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT VEIN CLINIC",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "FISHER MD",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "YOSHIO",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "619-905-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A052523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Vein Clinic ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor M Dial, MDA, RDN
• DND Pharmacy Inc
• Jaime Salas Dominguez, D.D.S
• Rachael Deann Donahue, PA
• Donald M Ehman M.D. Inc
• Dr Ted Y Fisher a Professional Corporation
• Irene Gomez Drye
• Ana Gabriela Duarte, MSN, APRN, FNP-C
• Nora Mattea Mehlman Dumont, MD
• Edna I Flores MD a Professional Corporation

• All providers in Brawley, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.