Active NPI
Jomer Kirby Tinana Polanes, M.D.
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1528996998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1303 East Hernon Avenue
St. Agnes Medical Center
Fresno, CA 93720 - Phone
- (559) 450-3000
- NPI assigned
- May 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1303 East Hernon Avenue
St. Agnes Medical Center
Fresno, CA 93720
Mailing address
1303 East Hernon Avenue
St. Agnes Medical Center
Fresno, CA 93720
Phone (559) 450-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1528996998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 EAST HERNON AVENUE",
"address_2": "ST. AGNES MEDICAL CENTER",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-450-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 EAST HERNON AVENUE",
"address_2": "ST. AGNES MEDICAL CENTER",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-450-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANES",
"first_name": "JOMER KIRBY",
"middle_name": "TINANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-13",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.