Organization Active NPI

Alexzandra Hollingworth MD Inc

  • Trauma Surgery Physician
  • Fresno, CA
National Provider Identifier
1508003765
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
A93722 Issued in CA
Legal business name
ALEXZANDRA HOLLINGWORTH MD INC
Practice address
550 E Herndon Ave
Suite 105a
Fresno, CA 93720-2992
Phone
(559) 438-1245
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Alexzandra Kathryn Hollingworth, MD
Title
President
Phone
(559) 438-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X A93722 CA Primary

Addresses

Primary practice location

550 E Herndon Ave
Suite 105a
Fresno, CA 93720-2992

Mailing address

PO Box 25042
Fresno, CA 93729-5042
Phone (559) 438-1245

National Provider Directory

National Provider Directory

Locations

550 E Herndon Ave
Ste 105A
Fresno, CA 93720
Phone (559) 892-4500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1508003765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25042",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295042",
            "telephone_number": "559-438-1245",
            "fax_number": "559-892-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E HERNDON AVE",
            "address_2": "SUITE 105A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202992",
            "telephone_number": "559-438-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXZANDRA HOLLINGWORTH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLLINGWORTH",
        "authorized_official_first_name": "ALEXZANDRA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-438-1245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A93722",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 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.

Verify at the official NPI Registry.