Kimia Etemadi, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A20487 Issued in CA

Practice address

155 N Fresno St
Fresno, CA 93701-2302

Phone

(559) 499-6518

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

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.

• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Community Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510

  Single Specialty

  Medicare reassignment NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744

  Single Specialty

  Medicare reassignment NPD
• Community Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Pixley, CA
  • NPI 1033661558

  Single Specialty

  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1053875484
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158

  Single Specialty

  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Farmersville, CA
  • NPI 1326317819

  Single Specialty

  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Goshen, CA
  • NPI 1336237072

  Single Specialty

  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Springville, CA
  • NPI 1386738177

  Single Specialty

  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Terra Bella, CA
  • NPI 1831520048

  Single Specialty

  NPD
• Samir E. Hage, D.O., Inc.

  • Obstetrics & Gynecology Physician
  • Redlands, CA
  • NPI 1811184179

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1528695269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012302",
            "telephone_number": "559-499-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012302",
            "telephone_number": "559-499-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMADI",
        "first_name": "KIMIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A20487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Estrada
• Sarah Denise Estrada, LE/CPE
• Aveline Estrella, RN
• Jose Estrella
• Marayah Estremera
• Eternal Senior Living LLC
• Eternity Health Care Inc
• Pouran Etezadi, RD
• Louise Lois Ethington
• William B Etiz, DO

• Obstetrics & Gynecology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.