Fargo Meds a Medical Corporation

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FARGO MEDS A MEDICAL CORPORATION

Practice address

7011 N Howard St Ste 100
Fresno, CA 93720-2955

Phone

(559) 304-6314

NPI assigned

Mar 1, 2023

Last updated

Nov 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gita KhattaieNPI 1558029561

Title

Owner

Phone

(559) 304-6314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Wayne Cardona, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1265466759
  Medicare reassignment NPD
• Gita Khattaie, FNP

  • Primary Care Nurse Practitioner
  • Fresno, CA
  • NPI 1558029561

  Single Specialty

  NPD Authorized official
• Manouchehr Rashti, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1679509871
  Medicare reassignment

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1194424879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-304-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARGO MEDS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "KHATTAIE",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-304-6314"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Fantz, L.P.T.
• Daniele Salvatore Faraci
• Faraneh Fararooni, PT
• Eric Scott Farbman, M.D.
• Cinthia Aileth Farfan Ambriz
• Edith Farias Gonzalez
• Roxanne Monique Farias
• Dante G Farinelli, PTA
• Michael Farmer
• Mufti Saadat Ahmed Farooqi, M.D.

• Primary Care Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.