Fresno Pediatrics, a Medical Corporation

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

G76384 Issued in CA

Legal business name

FRESNO PEDIATRICS, A MEDICAL CORPORATION

Doing business as

Fresno Pediatrics AMC

Practice address

2900 Fresno St
Suite 102
Fresno, CA 93721-1439

Phone

(559) 229-2900

Fax

(559) 268-2929

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank Ephraim Lopez, MDNPI 1699702795

Title

President

Phone

(559) 229-2900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FRESNO PEDIATRICS AMC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Ephraim Lopez, M.D.

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1699702795
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1336322437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRESNO ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211439",
            "telephone_number": "559-229-2900",
            "fax_number": "559-268-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRESNO ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211439",
            "telephone_number": "559-229-2900",
            "fax_number": "559-268-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO PEDIATRICS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EPHRAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-229-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "G76384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100331",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "G76384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESNO PEDIATRICS AMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fresno Oasis Mental Health Center, Inc.
• Fresno Operations, LP (Westmont of Fresno)
• Fresno Oral Maxillofacial Surgery and Dental Implant Center
• Fresno Pacific University Dba Pacific Counseling Center (Pacific Counseling Center)
• Fresno Pediatric Dentistry
• Fresno Pharmacy, Inc
• Fresno Postacute Care LLC
• Fresno Prosthetic Inc
• Fresno Rescue Mission (Fresno Mission)
• Fresno Senior Housing Partners, LLC (Kingston Bay Senior Living)

• Pediatric Allergy/Immunology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Allergy/Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.