Active NPI
Bruce P Noyes, PA-C
- Physician Assistant
- Madera, CA
National Provider Identifier
1396862249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18031
- Practice address
- 1210 E Almond Ave
Madera, CA 93637-5606 - Phone
- (559) 675-5530
- Fax
- (559) 675-5532
- NPI assigned
- Mar 24, 2007
- Last updated
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18031 | CA | Primary |
Addresses
Primary practice location
1210 E Almond Ave
Madera, CA 93637-5606
Mailing address
689 W Bedford Ave
Clovis, CA 93611-6730
Phone (559) 675-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1396862249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 W BEDFORD AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116730",
"telephone_number": "559-675-5530",
"fax_number": "559-675-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 E ALMOND AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936375606",
"telephone_number": "559-675-5530",
"fax_number": "559-675-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYES",
"first_name": "BRUCE",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "18031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.