Jane F. Kardashian, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G43958 Issued in CA

Legal business name

JANE F. KARDASHIAN, M.D., INC.

Practice address

6769 N. Fresno Street
Fresno, CA 93710

Phone

(559) 435-0337

Fax

(559) 435-2918

NPI assigned

Mar 29, 2012

Last updated

Apr 4, 2012By 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. Jane Kardashian, M.D.NPI 1417014036

Title

Physician/Owner

Phone

(559) 435-0337

Specialties & licenses 1

Addresses

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.

• Jane F. Kardashian, M.D.

  • Dermatology Physician
  • Fresno, CA
  • NPI 1417014036
  NPD Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1518233048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 N. FRESNO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-435-0337",
            "fax_number": "559-435-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N. FRESNO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-435-0337",
            "fax_number": "559-435-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE F. KARDASHIAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "KARDASHIAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "559-435-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G43958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.