Organization Active NPI

Ajit Singh Khaira MD Inc

  • Exclusive Provider Organization
  • Fresno, CA
National Provider Identifier
1194924670
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A46411 Issued in CA
Legal business name
AJIT SINGH KHAIRA MD INC
Practice address
3120 Tulare St
Suite 102
Fresno, CA 93721-1443
Phone
(559) 233-0933
Fax
(559) 233-4364
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Ajit Singh Khaira, M.D.NPI 1487633764
Title
Owner
Phone
(559) 233-0933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A46411 CA Primary

Addresses

Primary practice location

3120 Tulare St
Suite 102
Fresno, CA 93721-1443

Mailing address

3120 Tulare St
Suite 102
Fresno, CA 93721-1443
Phone (559) 233-0933

Other identifiers 1

IdentifierTypeStateIssuer
00A464112MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000605 CA Part B Supplier - Clinic/Group Practice 8123117900 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0867460Ajit Singh Khaira, MD Inc3120 Tulare St Ste 102, Fresno, CA 93721Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3120 Tulare St
Ste 102
Fresno, CA 93721
Phone (559) 223-0933

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1194924670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 TULARE ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211443",
            "telephone_number": "559-233-0933",
            "fax_number": "559-233-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TULARE ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211443",
            "telephone_number": "559-233-0933",
            "fax_number": "559-233-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJIT SINGH KHAIRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KHAIRA",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-233-0933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A46411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464112",
            "state": "CA"
        }
    ],
    "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 Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.