Organization Active NPI

Diabetes and Endocrine Specialties Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1497874721
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A79529 Issued in CA
Legal business name
DIABETES AND ENDOCRINE SPECIALTIES INC
Practice address
7085 N Chestnut
Suite 101
Fresno, CA 93720-3841
Phone
(559) 323-9236
Fax
(559) 323-0294
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Sujatha Srikanth, M.D.
Title
Physician
Phone
(559) 323-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A79529 CA Primary

Addresses

Primary practice location

7085 N Chestnut
Suite 101
Fresno, CA 93720-3841

Mailing address

7085 N Chestnut Ave Ste 101
Fresno, CA 93720-0353
Phone (559) 323-9236

Other identifiers 1

IdentifierTypeStateIssuer
00A795290MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1497874721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200353",
            "telephone_number": "559-323-9236",
            "fax_number": "559-323-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203841",
            "telephone_number": "559-323-9236",
            "fax_number": "559-323-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "SRIKANTH",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-323-0294",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A795290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 16, 2008; 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.