NPIMap

Organization Active NPI

Advanced Dermatology Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1346373271
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G43958 Issued in CA
Legal business name
ADVANCED DERMATOLOGY SURGERY CENTER, INC
Practice address
6769 N Fresno St
Fresno, CA 93710-3715
Phone
(559) 435-0337
Fax
(559) 435-2918
NPI assigned
Mar 13, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Jane Flora Kardashian, M.D.NPI 1417014036
Title
Physician Owner
Phone
(559) 435-0337

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G43958 CA Primary

Addresses

Primary practice location

6769 N Fresno St
Fresno, CA 93710-3715

Mailing address

6769 N Fresno St
Fresno, CA 93710-3715
Phone (559) 435-0337

National Provider Directory

National Provider Directory

Locations

5601 J St
Sacramento, CA 95819
Phone (916) 454-5922

135 Macaw Ln
Ste 200
Simi Valley, CA 93065
Phone (805) 522-3300

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1346373271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-435-0337",
            "fax_number": "559-435-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-435-0337",
            "fax_number": "559-435-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KARDASHIAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "FLORA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "559-435-0337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G43958",
            "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 May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.