Chestnut Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A93159 Issued in CA

Legal business name

CHESTNUT PEDIATRICS

Practice address

7055 N Chestnut Ave
Suite 106
Fresno, CA 93720-0350

Phone

(559) 797-4400

Fax

(559) 797-4401

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Nicole Banh, MDNPI 1982808846

Title

Secretary

Phone

(559) 978-8669

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Nicole Tere Banh, M.D.

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1982808846
  NPD (past) Authorized official
• Mary A Gonzalez-Howard, M.D.

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1013037993
  NPD (past)
• Nazzi Mojibi, MD

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1497864649
  NPD (past)

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1164865291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 E WOODHAVEN LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201218",
            "telephone_number": "559-978-8669",
            "fax_number": "559-322-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N CHESTNUT AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200350",
            "telephone_number": "559-797-4400",
            "fax_number": "559-797-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "BANH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-978-8669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A93159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory N Cherney, PH.D.
• Kimberli Cherry-May, LMFT
• Sriram Cherukupalli, DO
• Kawana Idali Chester, FNP
• Chestnut Medical Group of Fresno
• Chestnut Surgery Center, LLC
• Lawrence Lukman Cheung
• Raymond M Cheung, DDS
• Susan Cheung, D.O.
• Joseph R Chevalier

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.