Fargo Meds a Medical Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

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

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.

• 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": "1758067200000",
    "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": "2025-09-17",
        "certification_date": "2025-09-17",
        "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": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.