Active NPI
Jeffrey James Fay, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Fresno, CA
National Provider Identifier
1265556617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 15823
- Practice address
- 2615 E. Clinton Ave
VA Central California Health Care System
Fresno, CA 93703 - Phone
- (559) 225-6100
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15823 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 15823 | CA | Primary |
Addresses
Primary practice location
2615 E. Clinton Ave
VA Central California Health Care System
Fresno, CA 93703
Mailing address
1405 N. Arthur Ave
Fresno, CA 93728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15823 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1265556617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 N. ARTHUR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 E. CLINTON AVE",
"address_2": "VA CENTRAL CALIFORNIA HEALTH CARE SYSTEM",
"city": "FRESNO",
"state": "CA",
"postal_code": "93703",
"telephone_number": "559-225-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "JEFFREY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15823",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "15823",
"primary": true
}
],
"identifiers": [],
"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 Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.