Individual provider Active NPI

Sami Issa, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1558356014
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48020 Issued in CA
Practice address
560 E Herndon Ave # 201
Fresno, CA 93720-2907
Phone
(559) 437-7380
Fax
(559) 437-7152
NPI assigned
Sep 12, 2005
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G48020 CA Primary

Addresses

Primary practice location

560 E Herndon Ave # 201
Fresno, CA 93720-2907

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

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
I20080305000381 CA Practitioner - Family Practice 6406931112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1570 E Herndon Ave
Fresno, CA 93720-3303
Phone (559) 437-7311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48020CAMDDentist
G48020CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Community Medical Providers Medical Group Inc Family Medicine Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

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

560 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 437-7311

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1558356014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E HERNDON AVE # 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202907",
            "telephone_number": "559-437-7380",
            "fax_number": "559-437-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "SAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.