Individual provider Active NPI

Alexander Fair, DO

  • General Practice Physician
  • Fresno, CA
National Provider Identifier
1245934082
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A23358 Issued in CA
Practice address
1313 E Herndon Ave Ste 105
Fresno, CA 93720-3306
Phone
(559) 450-5375
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A23358 CA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 20A23358 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave Ste 105
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave Ste 105
Fresno, CA 93720-3306
Phone (559) 450-5375

Other practice location 1

7692 E Garland Ave
Fresno, CA 93737-9297
Phone (510) 305-9087

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
I20251205004267 CA Practitioner - Emergency Medicine 6709379803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23358CAMDGeneral Practice Physician
23358CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cep America- California Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1245934082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-450-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-450-5375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7692 E Garland Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937379297",
            "country_code": "US",
            "telephone_number": "510-305-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A23358",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A23358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.