Organization Active NPI

Ace Nephrology, Inc.

  • Nephrology Physician
  • Fresno, CA
National Provider Identifier
1417369810
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
119019 Issued in CA
Legal business name
ACE NEPHROLOGY, INC.
Practice address
6700 N 1St St Ste 119
Fresno, CA 93710-3947
Phone
(559) 540-7171
Fax
(559) 540-7175
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Khin Su Yee, MDNPI 1720377070
Title
President
Phone
(559) 540-7171

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 119019 CA Primary

Addresses

Primary practice location

6700 N 1St St Ste 119
Fresno, CA 93710-3947

Mailing address

373 E Shaw Ave Ste 136
Fresno, CA 93710-7609
Phone (559) 540-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203001794 CA Part B Supplier - Clinic/Group Practice 9830411701 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

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.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1417369810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E SHAW AVE STE 136",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107609",
            "telephone_number": "559-540-7171",
            "fax_number": "559-540-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST STE 119",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103947",
            "telephone_number": "559-540-7171",
            "fax_number": "559-540-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE NEPHROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "KHIN",
        "authorized_official_middle_name": "SU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-540-7171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "119019",
            "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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.