Active NPI
Michael D Ginsberg, P.A.
- Medical Physician Assistant
- Fresno, CA
National Provider Identifier
1649276619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 13106
- Practice address
- 7471 N Fresno St
Fresno, CA 93720-2457 - Phone
- (559) 436-4500
- Fax
- (559) 261-1526
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 13106 | CA | Primary |
Addresses
Primary practice location
7471 N Fresno St
Fresno, CA 93720-2457
Mailing address
7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0043790 | Medicaid | CA | |
| ZZZ21572Z | Other | CA | MEDICAREPTAN FOR ALL OFFICE LOCATIONS : BAZ ALLERGY,ASTHMA & SINUS CENTER |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13106 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1649276619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7471 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202457",
"telephone_number": "559-436-4500",
"fax_number": "559-261-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7471 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202457",
"telephone_number": "559-436-4500",
"fax_number": "559-261-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINSBERG",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "13106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0043790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAREPTAN FOR ALL OFFICE LOCATIONS : BAZ ALLERGY,ASTHMA & SINUS CENTER",
"identifier": "ZZZ21572Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.