Individual provider Active NPI

Devon Brooke Ward, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1609397405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A158273 Issued in CA
Practice address
4770 W Herndon Ave Ste 108
Fresno, CA 93722-8401
Phone
(559) 256-7990
Fax
(559) 256-7991
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X A158273 CA Primary

Addresses

Primary practice location

4770 W Herndon Ave Ste 108
Fresno, CA 93722-8401

Mailing address

9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-5700

Other practice location 1

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-3000

Other practice location 2

7720 N Fresno St Ste 104
Fresno, CA 93720-2407
Phone (559) 438-2300

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
I20200803000403 CA Practitioner - Pediatric Medicine 6103241518 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158273CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Pediatrics CurrentSince Feb 3, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 3, 2024 Accepting new patients
Sutter Valley Medical Foundation Pediatrics Current Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935

Interoperability endpoints

  • Direct secure messaging: dward678317@hisp.ehr.sutterhealth.org
  • Direct secure messaging: dward2713899@direct.trinity-health.org
  • Direct secure messaging: dward48261@valleychildrens-prd.direct-ci.com

Organizations & group practices 7

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609397405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228401",
            "telephone_number": "559-256-7990",
            "fax_number": "559-256-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Valley Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "93636",
            "country_code": "US",
            "telephone_number": "559-353-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7720 N Fresno St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202407",
            "country_code": "US",
            "telephone_number": "559-438-2300",
            "fax_number": "559-438-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "DEVON",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A158273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.