Individual provider Active NPI

Asako Yanagihara Shin, FNP

  • Family Nurse Practitioner
  • Madera, CA
National Provider Identifier
1558674069
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19970 Issued in CA
Practice address
1210 E Almond Ave
Madera, CA 93637-5605
Phone
(559) 675-5530
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19970 CA Primary

Addresses

Primary practice location

1210 E Almond Ave
Madera, CA 93637-5605

Mailing address

446 E Shelldrake Cir
Fresno, CA 93730-1229
Phone (559) 434-4521

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002587 CA Practitioner - Nurse Practitioner 0345539912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7355 N Palm Ave
Suite 100
Fresno, CA 93711-5770
Phone (559) 271-6300

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 10, 2016 Accepting new patients
Community Foundation Medical Group CurrentSince Sep 10, 2016 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

7033 N Fresno St
Ste 301
Fresno, CA 93720
Phone (559) 438-8181

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1558674069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E SHELLDRAKE CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937301229",
            "telephone_number": "559-434-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375605",
            "telephone_number": "559-675-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ASAKO",
        "middle_name": "YANAGIHARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.