Active NPI
Timothy J. Wright, FNP
- Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95013299
- Practice address
- 3580 E California Ave BLDG B
Fresno, CA 93702-4211 - Phone
- (559) 263-7555
- Fax
- (559) 263-5719
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 519484 | CA | |
| Nurse Practitioner | 363L00000X | 95013299 | CA | Primary |
Addresses
Primary practice location
3580 E California Ave BLDG B
Fresno, CA 93702-4211
Mailing address
3580 E California Ave BLDG B
Fresno, CA 93702-4211
Phone (592) 637-5555
Other practice location 1
2609 16th Ave
Kingsburg, CA 93631-1116
Phone (559) 305-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 519484 | CA | MD | Registered Nurse First Assistant |
| 95013299 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Foundation | Single Specialty | Current | Accepting new patients |
| LQMG Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| Advanced Care Medical Group Inc | Single Specialty | Current | Accepting new patients |
Locations
1510 E Herndon Ave
Ste 110
Fresno, CA 93720
Phone (559) 450-6742
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
3130 W Caldwell Ave
Visalia, CA 93277
Phone (559) 635-7800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Visalia, CA
- NPI 1295114965
Single Specialty
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1164512240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 E CALIFORNIA AVE BLDG B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937024211",
"telephone_number": "592-637-5555",
"fax_number": "559-263-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 E CALIFORNIA AVE BLDG B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937024211",
"telephone_number": "559-263-7555",
"fax_number": "559-263-5719"
}
],
"practiceLocations": [
{
"address_1": "2609 16th Ave",
"address_purpose": "LOCATION",
"city": "Kingsburg",
"state": "CA",
"postal_code": "936311116",
"country_code": "US",
"telephone_number": "559-305-3209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "TIMOTHY",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2024-05-13",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "519484",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95013299",
"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 May 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.