Active NPI
John Fisher
- Specialist
- Yorba Linda, CA
National Provider Identifier
1447653423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G047033
- Practice address
- 17491 Bastanchury Rd
Yorba Linda, CA 92886-1801 - Phone
- (714) 773-9010
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G047033 | CA | Primary |
Addresses
Primary practice location
17491 Bastanchury Rd
Yorba Linda, CA 92886-1801
Mailing address
17491 Bastanchury Rd
Yorba Linda, CA 92886-1801
Phone (714) 773-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G047033 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1447653423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17491 BASTANCHURY RD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861801",
"telephone_number": "714-773-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17491 BASTANCHURY RD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861801",
"telephone_number": "714-773-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G047033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
- Aaron Joshua Fernandez
- Aparna Amy Fernando, PHARMD
- Shadow Eros Ferrante
- First Choice Physician Partners (Yorba Linda Womens Health)
- First Choice Physician Partners (North County Gastroenterology)
- Maria Carolina O Flores, FNP
- Alan Fluger, D.C.
- Allison Foley, MD
- Foot Fitness Center Podiatry Group
- Michael Forsgren, MSPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.