Individual provider Active NPI

Jeanette Cserna-Kinion, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1346263225
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A39950 Issued in CA
Practice address
5479 N Fresno St Ste 100
Fresno, CA 93710-8328
Phone
(559) 439-1832
Fax
(559) 439-6843
NPI assigned
Jul 25, 2006
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A39950 CA Primary

Addresses

Primary practice location

5479 N Fresno St Ste 100
Fresno, CA 93710-8328

Mailing address

5479 N Fresno St Ste 100
Fresno, CA 93710-8328
Phone (559) 439-1832

Other names 1

  • Jeanette Cserna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114001717 TX Practitioner - Pediatric Medicine 2264735141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39950CAMDDentist
A39950CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Sep 28, 2016 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 28, 2016 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
SJ Hands-on Physical Therapy Inc PastSince Jun 24, 2024 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1801 Chukka Hina
Durant, OK 74701
Phone (580) 920-2100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1346263225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-439-1832",
            "fax_number": "559-439-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-439-1832",
            "fax_number": "559-439-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSERNA-KINION",
        "first_name": "JEANETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "CSERNA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.