Active NPI
Four Corner
- Durable Medical Equipment & Medical Supplies
- Fresno, CA
National Provider Identifier
1316563992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FOUR CORNER
- Practice address
- 1310 E Olive Ave
Fresno, CA 93728-3610 - Phone
- (800) 666-5323
- NPI assigned
- Jun 19, 2020
- Last updated
- Jun 19, 2020
- Organization subpart
- Yes
- Parent organization
- FOUR CORNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cashmir Luke, PHARMD/PH.D
- Title
- President
- Phone
- (800) 666-5323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1310 E Olive Ave
Fresno, CA 93728-3610
Mailing address
PO Box 690311
Stockton, CA 95269-0311
Phone (800) 666-5323
National Provider Directory
National Provider Directory- Part of
- Four Corner
Locations
1310 E Olive Ave
Fresno, CA 93728
Phone (800) 666-5323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacotherapy Pharmacist
- Fresno, CA
- NPI 1497993901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1316563992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690311",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952690311",
"telephone_number": "800-666-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283610",
"telephone_number": "800-666-5323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR CORNER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOUR CORNER HEALTH",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "LUKE",
"authorized_official_first_name": "CASHMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-666-5323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD/PH.D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"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 Jun 19, 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.