Active NPI
Kim Corp
- Customized Equipment (DME)
- Fresno, CA
National Provider Identifier
1457555633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 45389
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.