Organization Active NPI

Kim Corp

  • Customized Equipment (DME)
  • Fresno, CA
National Provider Identifier
1457555633
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
45389 Issued in CA
Legal business name
KIM CORP
Practice address
6057 N Palm Ave
Fresno, CA 93704-1623
Phone
(559) 431-1000
Fax
(559) 432-8036
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Ms. Ana Mariza Gonzalez
Title
Office Manager
Phone
(559) 431-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 45389 CA Primary

Addresses

Primary practice location

6057 N Palm Ave
Fresno, CA 93704-1623

Mailing address

6057 N Palm Ave
Fresno, CA 93704-1623
Phone (559) 431-1000

Other names 1

  • Abbey Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6057 N Palm Ave
Fresno, CA 93704
Phone (559) 431-1000

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1457555633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041623",
            "telephone_number": "559-431-1000",
            "fax_number": "559-432-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041623",
            "telephone_number": "559-431-1000",
            "fax_number": "559-432-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-431-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "45389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbey Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.