Organization Active NPI

Jane F. Kardashian, M.D., Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1356490288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G43958 Issued in CA
Legal business name
JANE F. KARDASHIAN, M.D., INC.
Practice address
6769 N Fresno St
Fresno, CA 93710-3715
Phone
(559) 435-0337
Fax
(559) 435-2918
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jane F Kardashian, M.D.
Title
Owner
Phone
(559) 435-0337

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356490288",
    "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": "JANE F. KARDASHIAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARDASHIAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-435-0337",
        "authorized_official_name_prefix": "Dr.",
        "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 Aug 22, 2020; 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.