Active NPI
Pediatric Gastroenterology Consultants
- Pediatric Gastroenterology Physician
- Madera, CA
National Provider Identifier
1649509647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- C050493
- Legal business name
- PEDIATRIC GASTROENTEROLOGY CONSULTANTS
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636-8761 - Phone
- (559) 353-5745
- Fax
- (559) 353-6033
- NPI assigned
- Dec 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Muslim Jami, MD
- Title
- Manager
- Phone
- (559) 353-5745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | C050493 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636-8761
Mailing address
1895 E Castlebrook Dr
Fresno, CA 93730-3456
Phone (559) 353-5745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Gastroenterology Physician
- Palo Alto, CA
- NPI 1639138852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261440000000",
"number": "1649509647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 E CASTLEBROOK DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937303456",
"telephone_number": "559-353-5745",
"fax_number": "559-353-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5745",
"fax_number": "559-353-6033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC GASTROENTEROLOGY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-22",
"last_updated": "2009-12-22",
"status": "A",
"authorized_official_last_name": "JAMI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "MUSLIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "559-353-5745",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "C050493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.