Active NPI
Dipti Kundaikar, M.D
- Clinic/Center
- Fresno, CA
National Provider Identifier
1437325685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A115255
- Practice address
- 7300 North Fresno Street
Medical Staff Services, Sequoia 4
Fresno, CA 93270-2941 - Phone
- (510) 987-1000
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A115255 | CA | Primary |
Addresses
Primary practice location
7300 North Fresno Street
Medical Staff Services, Sequoia 4
Fresno, CA 93270-2941
Mailing address
7300 North Fresno Street
Medical Staff Services, Sequoia 4
Fresno, CA 93270-2941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170524002507 | FL | Order and Referring Only - Internal Medicine | 6709913809 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1437325685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 NORTH FRESNO STREET",
"address_2": "MEDICAL STAFF SERVICES, SEQUOIA 4",
"city": "FRESNO",
"state": "CA",
"postal_code": "932702941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 NORTH FRESNO STREET",
"address_2": "MEDICAL STAFF SERVICES, SEQUOIA 4",
"city": "FRESNO",
"state": "CA",
"postal_code": "932702941",
"telephone_number": "510-987-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNDAIKAR",
"first_name": "DIPTI",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A115255",
"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 7, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.