Organization Active NPI

Angels Pediatrics, Inc.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1417292707
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A110082 Issued in CA
Legal business name
ANGELS PEDIATRICS, INC.
Practice address
1515 E Alluvial Ave Ste 105
Fresno, CA 93720-3832
Phone
(559) 322-5515
Fax
(559) 322-5915
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Enas Attia, MDNPI 1649599366
Title
Owner of Angels Pediatrics, Inc.
Phone
(559) 322-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A110082 CA Primary

Addresses

Primary practice location

1515 E Alluvial Ave Ste 105
Fresno, CA 93720-3832

Mailing address

1515 E Alluvial Ave Ste 105
Fresno, CA 93720-3832
Phone (559) 322-5515

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2047567Angels Pediatrics, Inc1515 E Alluvial Ave Ste 105, Fresno, CA 93720Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1417292707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203832",
            "telephone_number": "559-322-5515",
            "fax_number": "559-322-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203832",
            "telephone_number": "559-322-5515",
            "fax_number": "559-322-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "ENAS",
        "authorized_official_title_or_position": "OWNER OF ANGELS PEDIATRICS, INC.",
        "authorized_official_telephone_number": "559-322-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A110082",
            "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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.