Organization Active NPI

Nishikawa and Lowe Surgical Services Medical Group, Inc

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1225014590
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Apr 14, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0055170MedicaidCA
B001OtherTRICARE
ZZZ41305ZOtherBLUE SHIELD OF CA

Other names 1

  • Nishikawa And Lowe Surgical Services Medical Group Inc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.