Individual provider Active NPI

Gary Fong Saelee, OD

  • Optometrist
  • Selma, CA
National Provider Identifier
1487139697
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34148TLG Issued in CA
Practice address
2705 Highland Ave
Selma, CA 93662-3389
Phone
(559) 891-9003
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34148TLG CA Primary

Addresses

Primary practice location

2705 Highland Ave
Selma, CA 93662-3389

Mailing address

9263 N Saybrook Dr Apt 243
Fresno, CA 93720-0824
Phone (916) 539-6517

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104001021 CA Practitioner - Optometry 7315283876 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34148CAMDChiropractor
34148TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 23, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Sacramento Native American Health Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Family Healthcare Network CurrentSince Sep 23, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

401 E School Ave
Visalia, CA 93291
Phone (559) 741-4356

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gary.saelee.1@17661.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1487139697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 N SAYBROOK DR APT 243",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200824",
            "telephone_number": "916-539-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HIGHLAND AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623389",
            "telephone_number": "559-891-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAELEE",
        "first_name": "GARY",
        "middle_name": "FONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34148TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.