Individual provider Active NPI

Humaira Sadiq, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1205096831
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A102175 Issued in CA
Practice address
6331 N. Fresno St.
#104
Fresno, CA 93710
Phone
(559) 437-2700
Fax
(559) 437-2712
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102175 CA Primary

Addresses

Primary practice location

6331 N. Fresno St.
#104
Fresno, CA 93710

Mailing address

6331 N Fresno St Ste 104
Fresno, CA 93710-5283
Phone (559) 437-2700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000080 CA Practitioner - Internal Medicine 2163583584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102175CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Marvin P Matlock M D Inc Internal Medicine Past Accepting new patients

Locations

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

6331 N Fresno St
Ste 104
Fresno, CA 93710
Phone (559) 437-2700

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1205096831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 N FRESNO ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105283",
            "telephone_number": "559-437-2700",
            "fax_number": "559-437-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 N. FRESNO ST.",
            "address_2": "#104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-437-2700",
            "fax_number": "559-437-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "HUMAIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.