Active NPI
Jane F. Kardashian, M.D.
- Dermatology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G439580
- Practice address
- 6769 N Fresno St
Fresno, CA 93710-3715 - Phone
- (559) 435-0337
- Fax
- (559) 435-2918
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G439580 | CA | Primary |
Addresses
Primary practice location
6769 N Fresno St
Fresno, CA 93710-3715
Mailing address
6769 N Fresno St
Fresno, CA 93710-3715
Phone (559) 435-0337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G439580 | Other | CA | STATE LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Rutgers New Jersey Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704
6769 N Fresno St
Suite 101
Fresno, CA 93710-3715
Phone (559) 435-0337
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 63 |
| Removal of tissue | 16 |
| Removal of skin lesions | 1434 |
| Removal of skin cancer | 112 |
| Removal or shaving of skin growth | 102 |
| Skin biopsy | 118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G439580 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Dermatology Associates, Inc. | Current | Accepting new patients | |
| Jane F. Kardashian, M.D., Inc. | Dermatology | Current | Accepting new patients |
| Golden State Dermatology Associates, Inc. | Dermatology | Current | Accepting new patients |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Saint Agnes Medical Center | Past | Accepting new patients |
Locations
1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510
6769 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-0337
6769 N Fresno St
Ste 201
Fresno, CA 93710
Phone (559) 440-1500
6769 N Fresno St
Fresno, CA 93710
Phone (559) 435-0337
6769 N Fresno St
Ste 100
Fresno, CA 93710
388 E Yosemite Ave
Ste 100
Merced, CA 95340
Phone (209) 383-3456
355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704
370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592
Interoperability endpoints
- jkardashian2714504@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
- Dermatology Physician
- Fresno, CA
- NPI 1518233048
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1235738576
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1417014036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6769 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103715",
"telephone_number": "559-435-0337",
"fax_number": "559-435-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6769 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103715",
"telephone_number": "559-435-0337",
"fax_number": "559-435-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDASHIAN",
"first_name": "JANE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G439580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "G439580",
"state": "CA"
}
],
"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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.