Individual provider Active NPI

Ha Ti Bich Hoang Nishihara, N.P.

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1649284993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10727 Issued in CA
Practice address
3636 N 1St St Ste 165
Fresno, CA 93726-6818
Phone
(559) 225-2000
Fax
(559) 226-5761
NPI assigned
Jul 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10727 CA Primary

Addresses

Primary practice location

3636 N 1St St Ste 165
Fresno, CA 93726-6818

Mailing address

PO Box 25880
Fresno, CA 93729-5880
Phone (559) 431-8900

Other identifiers 1

IdentifierTypeStateIssuer
GR0089961MedicaidCA

Other names 1

  • Mrs. Lisa Nishihara Other name

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
I20040707000521 CA Practitioner - Nurse Practitioner 8325025349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominic Dizon Medical CorporationGroup PAC ID 4587101241, 8 clinicians

Practice addresses (Care Compare)

2066 E Copper Ave
Fresno, CA 93730-5409
Phone (559) 299-2997

7035 N Maple Ave
Suite 102B
Fresno, CA 93720-8026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10727CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic Dizon, Medical Corporation CurrentSince Dec 2, 2024 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Community Health Partners CurrentSince Jan 13, 2023 Accepting new patients
1Lab Inc. Past Accepting new patients

Locations

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

2066 E Copper Ave
Ste 104
Fresno, CA 93730
Phone (559) 299-2997

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 791-8410

7035 N Maple Ave
Ste 102B
Fresno, CA 93720
Phone (559) 299-2997

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649284993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25880",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295880",
            "telephone_number": "559-431-8900",
            "fax_number": "559-431-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 165",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-225-2000",
            "fax_number": "559-226-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG NISHIHARA",
        "first_name": "HA",
        "middle_name": "TI BICH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "NISHIHARA",
            "prefix": "MRS.",
            "credential": "N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.