Organization Active NPI

Functional Integrated Therapy Medical Corp

  • Rehabilitation Chiropractor
  • Fresno, CA
National Provider Identifier
1376677450
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
FUNCTIONAL INTEGRATED THERAPY MEDICAL CORP
Practice address
6042 N Fresno St Ste 203
Fresno, CA 93710-5279
Phone
(559) 435-1897
Fax
(559) 435-1667
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Ronald John Diaso, D.C.
Title
President
Phone
(559) 435-1897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CA Primary

Addresses

Primary practice location

6042 N Fresno St Ste 203
Fresno, CA 93710-5279

Mailing address

6042 N Fresno St Ste 203
Fresno, CA 93710-5279
Phone (559) 435-1897

Other names 1

  • F.I.T. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1376677450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 N FRESNO ST STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105279",
            "telephone_number": "559-435-1897",
            "fax_number": "559-435-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 N FRESNO ST STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105279",
            "telephone_number": "559-435-1897",
            "fax_number": "559-435-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INTEGRATED THERAPY MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DIASO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-1897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F.I.T.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.