Individual provider Active NPI

Paramjit Singh Fagoora, MD

  • Specialist
  • Fresno, CA
National Provider Identifier
1356376958
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A304860 Issued in CA
Practice address
5359 N Fresno St
Suite 101
Fresno, CA 93710-6831
Phone
(559) 439-2040
Fax
(559) 435-3918
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A30486 CA
Specialist 174400000X A304860 CA Primary

Addresses

Primary practice location

5359 N Fresno St
Suite 101
Fresno, CA 93710-6831

Mailing address

5359 N Fresno St
Suite 101
Fresno, CA 93710-6831
Phone (559) 439-2040

Other identifiers 1

IdentifierTypeStateIssuer
00A304860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090608000500 CA Practitioner - Ophthalmology 7113077405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5359 N Fresno St
Suite 101
Fresno, CA 93710-6831
Phone (559) 439-2040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30486CAMDSpecialist
A304860CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Param S Fagoora MD Inc Ophthalmology CurrentSince Sep 1, 1977 Accepting new patients
Clearvisionmedicalcenter Ophthalmology Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

5359 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 439-2040

5359 N Fresno St
Ste 101F
Fresno, CA 93710
Phone (559) 229-7700

347 E Barstow Ave
Ste 104
Fresno, CA 93710
Phone (559) 226-0323

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1356376958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106831",
            "telephone_number": "559-439-2040",
            "fax_number": "559-435-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106831",
            "telephone_number": "559-439-2040",
            "fax_number": "559-435-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGOORA",
        "first_name": "PARAMJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30486",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A304860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A304860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.