Active NPI
Linda Le Khamsone, FNP
- Family Nurse Practitioner
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95025156
- Practice address
- 726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886 - Phone
- (559) 900-3045
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95025156 | CA | Primary |
Addresses
Primary practice location
726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886
Mailing address
726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886
Phone (559) 900-3045
Other names 1
- Linda Le
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025156 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amar Siddique MD Inc | Current | Accepting new patients |
Locations
726 N Medical Center Dr E
Ste 205
Clovis, CA 93611
Phone (559) 545-5896
4910 E Ashlan Ave
Ste 116
Fresno, CA 93726
Phone (559) 228-2990
5606 E Kings Canyon Rd
Fresno, CA 93727
7235 N 1st St
Ste 103
Fresno, CA 93720
Phone (559) 432-2600
1521 N Schnoor Ave
Ste 103
Madera, CA 93637
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1609567866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 N MEDICAL CENTER DR E STE 205",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116886",
"telephone_number": "559-900-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 N MEDICAL CENTER DR E STE 205",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116886",
"telephone_number": "559-900-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMSONE",
"first_name": "LINDA",
"middle_name": "LE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95025156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "LE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.