Organization Active NPI

William L Ebbeling MD Inc Apmc

  • Allergy & Immunology Physician
  • Fresno, CA
National Provider Identifier
1396983094
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
C50225 Issued in CA
Legal business name
WILLIAM L EBBELING MD INC APMC
Practice address
1646 E Herndon Ave
Suite 106
Fresno, CA 93720-3380
Phone
(559) 490-0234
Fax
(559) 490-0237
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. William Leonard Ebbeling, M.D.
Title
Ceo
Phone
(559) 490-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X C50225 CA Primary

Addresses

Primary practice location

1646 E Herndon Ave
Suite 106
Fresno, CA 93720-3380

Mailing address

1646 E Herndon Ave
Suite 106
Fresno, CA 93720-3380
Phone (559) 490-0234

National Provider Directory

National Provider Directory

Locations

1646 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 490-0234

1646 E Herndon Ave
Ste 1
Fresno, CA 93720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1396983094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 E HERNDON AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203380",
            "telephone_number": "559-490-0234",
            "fax_number": "559-490-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 E HERNDON AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203380",
            "telephone_number": "559-490-0234",
            "fax_number": "559-490-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L EBBELING MD INC APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "EBBELING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-490-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C50225",
            "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 Aug 18, 2015; 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.