Active NPI
William Mochizuki, M.D.
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1295720753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G40613
- Practice address
- 1570 E Herndon Ave
Fresno, CA 93720-3303 - Phone
- (559) 437-7300
- NPI assigned
- Sep 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40613 | CA | Primary |
Addresses
Primary practice location
1570 E Herndon Ave
Fresno, CA 93720-3303
Mailing address
PO Box 28900
Fresno, CA 93729
Phone (559) 228-4205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G406130 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1295720753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28900",
"city": "FRESNO",
"state": "CA",
"postal_code": "93729",
"telephone_number": "559-228-4205",
"fax_number": "559-224-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203303",
"telephone_number": "559-437-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCHIZUKI",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G40613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G406130",
"state": "CA"
}
],
"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 Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.