Active NPI
David I Margolin, M.D.
- Surgery Physician
- Fresno, CA
National Provider Identifier
1649350554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G50321
- Practice address
- 1515 E Alluvial Ave Ste 101
Fresno, CA 93720-3832 - Phone
- (559) 438-1245
- Fax
- (559) 261-2968
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G50321 | CA | Primary |
Addresses
Primary practice location
1515 E Alluvial Ave Ste 101
Fresno, CA 93720-3832
Mailing address
PO Box 25042
Fresno, CA 93729-5042
Phone (559) 438-1245
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130010398 | Other | CA | RAILROAD MEDICARE |
| 00G503211 | Medicaid | CA | |
| 00G503211 | Other | CA | BLUE SHIELD |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1649350554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25042",
"city": "FRESNO",
"state": "CA",
"postal_code": "937295042",
"telephone_number": "559-438-1245",
"fax_number": "559-261-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E ALLUVIAL AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203832",
"telephone_number": "559-438-1245",
"fax_number": "559-261-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIN",
"first_name": "DAVID",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G50321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130010398",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G503211",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G503211",
"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 Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.