Jane F Kardashian MD Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G43958 Issued in CA

Legal business name

JANE F KARDASHIAN MD INC

Practice address

6769 N Fresno
Fresno, CA 93710

Phone

(888) 590-0808

Fax

(866) 740-4689

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Mackenzie Hahn

Title

Ncpdp Coordinator

Phone

(888) 590-0808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1376030080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE",
            "address_2": "EAST BUILDING STE 5",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE F KARDASHIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "888-590-0808"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G43958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit-Kumar Jana
• Ria Jana
• Janardhan Grandhe MD a Medical Corporation
• Pam K Janda, MD
• Parminder Kaur Jandu
• Jane F. Kardashian, M.D., Inc.
• Jane F. Kardashian, M.D., Inc.
• John Janes, M.S.
• Sanket M Jani, MD
• Shruti Nitin Jani

• Non-Pharmacy Dispensing Site in Fresno, CA
• Providers in Fresno, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.