NPIMap

Individual provider Active NPI

Amir Hassan Fathi, MD

  • Surgical Oncology Physician
  • Fresno, CA
National Provider Identifier
1396908398
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A136988 Issued in CA
Practice address
2335 E Kashian LN Ste 220
Fresno, CA 93701-2211
Phone
(559) 256-5140
Fax
(559) 485-4505
NPI assigned
Jul 9, 2008
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A136988 CA
Surgical Oncology Physician 2086X0206X A136988 CA Primary

Addresses

Primary practice location

2335 E Kashian LN Ste 220
Fresno, CA 93701-2211

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826002482 CA Practitioner - General SurgeryPractitioner - Surgical Oncology 5890934889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2335 E Kashian LN
Suite 220
Fresno, CA 93701-2211
Phone (559) 256-5140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A136988CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. CurrentSince Sep 1, 2015 Accepting new patients
University Faculty Associates , Inc. CurrentSince Sep 1, 2015 Accepting new patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients
Froedtert Memorial Lutheran Hospital, Inc. Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 220
Fresno, CA 93701
Phone (559) 256-5140

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

7415 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 264-9100

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1396908398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 220",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012211",
            "telephone_number": "559-256-5140",
            "fax_number": "559-485-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHI",
        "first_name": "AMIR",
        "middle_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A136988",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A136988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.