Individual provider Active NPI

Sandy Abdelkedous, MD

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1306093109
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A126253 Issued in CA
Practice address
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone
(559) 600-9180
Fax
(559) 455-4783
NPI assigned
Aug 22, 2008
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A126253 CA Primary
Surgery Physician 208600000X N/A CA

Addresses

Primary practice location

1925 E Dakota Ave
Fresno, CA 93726-4821

Mailing address

44444 20TH St W
Lancaster, CA 93534-2714
Phone (661) 951-0070

Other practice location 1

44444 20th St W
Lancaster, CA 93534-2714
Phone (661) 951-0070 ext. 2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126253CAMDPsychiatry Physician
N/ACAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1306093109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44444 20TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342714",
            "telephone_number": "661-951-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-9180",
            "fax_number": "559-455-4783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44444 20th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342714",
            "country_code": "US",
            "telephone_number": "661-951-0070 x2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELKEDOUS",
        "first_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A126253",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.