Active NPI
Digestive Disease Consultants, a Medical Corporation
- Gastroenterology Physician
- Fresno, CA
National Provider Identifier
1508880121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE DISEASE CONSULTANTS, A MEDICAL CORPORATION
- Practice address
- 1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166 - Phone
- (559) 440-0450
- Fax
- (559) 440-0461
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick David Ginn, M.D.
- Title
- President
- Phone
- (559) 440-0450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166
Mailing address
1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166
Phone (559) 440-0450
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ2124 | Other | MEDICARE RAILROAD | |
| GR0057880 | Medicaid | CA | |
| ZZZ38536Z | Other | BLUE CROSS | |
| ZZZ38536Z | Other | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1508880121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 E HERNDON AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203166",
"telephone_number": "559-440-0450",
"fax_number": "559-440-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 E HERNDON AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203166",
"telephone_number": "559-440-0450",
"fax_number": "559-440-0461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE CONSULTANTS, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "GINN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-440-0450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CQ2124",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0057880",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "ZZZ38536Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ38536Z",
"state": null
}
],
"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 Feb 19, 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.