Individual provider Active NPI

Kenty Uy Sian, M.D.

  • Plastic Surgery Physician
  • Fresno, CA
National Provider Identifier
1407882004
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A75906 Issued in CA
Practice address
1855 E Alluvial Ave
Ste. 101
Fresno, CA 93720-3854
Phone
(559) 797-0501
Fax
(559) 797-0504
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A75906 CA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X A75906 CA
Surgery Physician 208600000X A75906 CA

Addresses

Primary practice location

1855 E Alluvial Ave
Ste. 101
Fresno, CA 93720-3854

Mailing address

1855 E Alluvial Ave
Ste 101
Fresno, CA 93720-3854
Phone (559) 797-0501

Other identifiers 1

IdentifierTypeStateIssuer
OOA759060MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000463 CA Practitioner - Plastic and Reconstructive Surgery 0749284511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 E Alluvial Ave
Suite 101
Fresno, CA 93720-3854
Phone (559) 797-0501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75906CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenty U Sian MD Inc Plastic Surgery CurrentSince Jun 13, 2016 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Locations

1855 E Alluvial Ave
Ste 101
Fresno, CA 93720
Phone (559) 797-0501

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1407882004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E ALLUVIAL AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203854",
            "telephone_number": "559-797-0501",
            "fax_number": "559-797-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E ALLUVIAL AVE",
            "address_2": "STE. 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203854",
            "telephone_number": "559-797-0501",
            "fax_number": "559-797-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAN",
        "first_name": "KENTY",
        "middle_name": "UY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A75906",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A75906",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A75906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA759060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.