Individual provider Active NPI

Harman Virk, DO

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1457971848
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A20631 Issued in CA
Practice address
7053 N Cedar Ave
Fresno, CA 93720-3324
Phone
(559) 862-5342
NPI assigned
Apr 26, 2020
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20A20631 CA Primary

Addresses

Primary practice location

7053 N Cedar Ave
Fresno, CA 93720-3324

Mailing address

2088 N Preuss Ave
Clovis, CA 93619-7465
Phone (559) 862-5342

Other practice location 1

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 948-5672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114001733 CA Practitioner - Internal Medicine 7214384148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Medicine IncGroup PAC ID 6406203330, 2 clinicians

Practice addresses (Care Compare)

7053 N Cedar Ave
Fresno, CA 93720-3324
Phone (559) 369-7787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A20631CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medicine Inc. Internal Medicine CurrentSince Oct 17, 2023 Accepting new patients

Locations

7053 N Cedar Ave
Fresno, CA 93720
Phone (559) 258-4304

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1457971848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 N PREUSS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197465",
            "telephone_number": "559-862-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203324",
            "telephone_number": "559-862-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 N Brent St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032809",
            "country_code": "US",
            "telephone_number": "805-948-5672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRK",
        "first_name": "HARMAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-26",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A20631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.