Active NPI
Robert D. Morris, MD
- Dermatology Physician
- Fresno, CA
National Provider Identifier
1326126228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G29342
- Practice address
- 7300 N Fresno St
Fresno, CA 93720-2941 - Phone
- (559) 448-4500
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G29342 | CA | Primary |
Addresses
Primary practice location
7300 N Fresno St
Fresno, CA 93720-2941
Mailing address
2394 Decatur
Clovis, CA 93611
Phone (559) 349-6703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G293420 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29342 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1326126228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2394 DECATUR",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93611",
"telephone_number": "559-349-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ROBERT",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G29342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G293420",
"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 May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.