Active NPI
Fresno Wound Care in Home Service Inc
- Medical Specialty Clinic/Center
- Fresno, CA
National Provider Identifier
1407615370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.