Dr Steve Fagbule Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR STEVE FAGBULE INC

Practice address

1930 E Shields Ave
Fresno, CA 93726-5434

Phone

(559) 269-4898

NPI assigned

Jul 9, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olasunkanmi Stephen Fagbule, MDNPI 1699950063

Title

Ceo

Phone

(559) 269-4898

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olasunkanmi Stephen Fagbule, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1699950063
  Authorized official Same address or phone

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1477124584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117143",
            "telephone_number": "559-269-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265434",
            "telephone_number": "559-269-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEVE FAGBULE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "FAGBULE",
        "authorized_official_first_name": "OLASUNKANMI",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-269-4898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1930 E Shields Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937265434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.