Individual provider Active NPI

David Alan Palmore, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1619977444
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49263 Issued in CA
Practice address
1187 E Herndon Ave
Suite 104
Fresno, CA 93720-3166
Phone
(559) 449-4548
Fax
(559) 472-9960
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A49263 CA Primary

Addresses

Primary practice location

1187 E Herndon Ave
Suite 104
Fresno, CA 93720-3166

Mailing address

1187 E Herndon Ave
Suite 104
Fresno, CA 93720-3166
Phone (559) 449-4548

Other identifiers 1

IdentifierTypeStateIssuer
110038105OtherCAMEDICARE UNSPECIFIED

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
I20100223000095 CA Practitioner - Internal Medicine 2264576685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6256 N 1St St
Suite 101
Fresno, CA 93710-5451
Phone (559) 449-4547

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49263CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Palmore M.D. Inc. Internal Medicine CurrentSince Dec 29, 2009 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

1187 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 261-9560

6256 N 1st St
Ste 101
Fresno, CA 93710
Phone (559) 432-1833

6256 N 1st St
Fresno, CA 93710

Interoperability endpoints

  • Direct secure messaging: dr@palmoremd.kareodirect.com
  • Direct secure messaging: may@palmoremd.kareodirect.com

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.

Hospital & facility affiliations 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1619977444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 E HERNDON AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203166",
            "telephone_number": "559-449-4548",
            "fax_number": "559-472-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 E HERNDON AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203166",
            "telephone_number": "559-449-4548",
            "fax_number": "559-472-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMORE",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "110038105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.