Individual provider Active NPI

William B Holmes, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1528001815
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32816 Issued in CA
Practice address
4770 W Herndon Ave
Fresno, CA 93722-8402
Phone
(559) 271-6365
Fax
(559) 271-6326
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G32816 CA Primary

Addresses

Primary practice location

4770 W Herndon Ave
Fresno, CA 93722-8402

Mailing address

4770 W Herndon Ave
Fresno, CA 93722-8402
Phone (559) 271-6365

Other identifiers 2

IdentifierTypeStateIssuer
00G328160MedicaidCA
110001097OtherMEDICARE RR

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000443 CA Practitioner - Internal Medicine 1052484649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

7355 N Palm Ave
Fresno, CA 93711-5770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G32816CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations

7355 N Palm Ave
Ste 100
Fresno, CA 93711
Phone (559) 271-6300

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

4770 W Herndon Ave
Fresno, CA 93722
Phone (559) 271-6300

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1528001815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G328160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110001097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.