Organization Active NPI

Fresno Wound Care in Home Service Inc

  • Medical Specialty Clinic/Center
  • Fresno, CA
National Provider Identifier
1407615370
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FRESNO WOUND CARE IN HOME SERVICE INC
Practice address
1954 N Gateway Blvd Ste 102
Fresno, CA 93727-1644
Phone
(559) 475-0274
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mrs. Islambek Tarpanbaev
Title
Ceo
Phone
(559) 475-0274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1954 N Gateway Blvd Ste 102
Fresno, CA 93727-1644

Mailing address

1954 N Gateway Blvd Ste 102
Fresno, CA 93727-1644
Phone (559) 475-0274

National Provider Directory

National Provider Directory

Locations

1954 N Gateway Blvd
Ste 102
Fresno, CA 93727
Phone (559) 475-0274

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1407615370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 N GATEWAY BLVD STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271644",
            "telephone_number": "559-475-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 N GATEWAY BLVD STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271644",
            "telephone_number": "559-475-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO WOUND CARE IN HOME SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "TARPANBAEV",
        "authorized_official_first_name": "ISLAMBEK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-475-0274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "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 Jul 14, 2025; 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.