Active NPI
David a. Palmore M.D. Inc.
- Internal Medicine Physician
- Fresno, CA
National Provider Identifier
1396076469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A49623
- Legal business name
- DAVID A. PALMORE M.D. INC.
- Practice address
- 1187 E Herndon Ave
Fresno, CA 93720-3166 - Phone
- (559) 449-4547
- Fax
- (559) 761-1530
- NPI assigned
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nilda Karina Palmore
- Title
- Administrator
- Phone
- (559) 779-0399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49623 | CA | Primary |
Addresses
Primary practice location
1187 E Herndon Ave
Fresno, CA 93720-3166
Mailing address
1187 E Herndon Ave
Fresno, CA 93720-3166
Phone (559) 449-4547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1187 E Herndon Ave
Fresno, CA 93720
Phone (559) 224-0900
1187 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 261-9560
6256 N 1st St
Ste 101
Fresno, CA 93710
Phone (559) 432-1833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1619977444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1396076469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203166",
"telephone_number": "559-449-4547",
"fax_number": "559-761-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203166",
"telephone_number": "559-449-4547",
"fax_number": "559-761-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. PALMORE M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "PALMORE",
"authorized_official_first_name": "NILDA",
"authorized_official_middle_name": "KARINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "559-779-0399",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A49623",
"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 Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.