Active NPI
Nishikawa and Lowe Surgical Services Medical Group, Inc
- Surgery Physician
- Fresno, CA
National Provider Identifier
1225014590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NISHIKAWA AND LOWE SURGICAL SERVICES MEDICAL GROUP, INC
- Doing business as
- Nishikawa And Lowe Surgical Services Medical Group Inc
- Practice address
- 6235 N Fresno St Ste 106
Fresno, CA 93710-5269 - Phone
- (559) 475-0431
- Fax
- (559) 475-0436
- NPI assigned
- Dec 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Edwin Lowe, MD
- Title
- President
- Phone
- (559) 475-0431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6235 N Fresno St Ste 106
Fresno, CA 93710-5269
Mailing address
6235 N Fresno St Ste 106
Fresno, CA 93710-5269
Phone (559) 475-0431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0055170 | Medicaid | CA | |
| B001 | Other | TRICARE | |
| ZZZ41305Z | Other | BLUE SHIELD OF CA |
Other names 1
- Nishikawa And Lowe Surgical Services Medical Group Inc
National Provider Directory
National Provider DirectoryLocations
2438 N Ponderosa Dr
Ste C207
Camarillo, CA 93010
Phone (805) 484-3513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1225014590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 N FRESNO ST STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105269",
"telephone_number": "559-475-0431",
"fax_number": "559-475-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6235 N FRESNO ST STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105269",
"telephone_number": "559-475-0431",
"fax_number": "559-475-0436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NISHIKAWA AND LOWE SURGICAL SERVICES MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-19",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "ISAAC",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-475-0431",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0055170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "B001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ41305Z",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nishikawa And Lowe Surgical Services Medical Group Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nishikawa And Lowe Surgical Services Medical Group Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.