Organization Active NPI

Hedieh Stefanacci, MD, Inc.

  • Plastic Surgery Physician
  • Fresno, CA
National Provider Identifier
1649652777
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G81489 Issued in CA
Legal business name
HEDIEH STEFANACCI, MD, INC.
Practice address
2365 E Fir Ave
Fresno, CA 93720-8016
Phone
(559) 797-9000
Fax
(559) 797-9005
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Ms. Hedieh A Stefanacci, M.D.
Title
President
Phone
(559) 797-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G81489 CA Primary

Addresses

Primary practice location

2365 E Fir Ave
Fresno, CA 93720-8016

Mailing address

2365 E Fir Ave
Fresno, CA 93720-8016
Phone (559) 797-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1649652777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208016",
            "telephone_number": "559-797-9000",
            "fax_number": "559-797-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208016",
            "telephone_number": "559-797-9000",
            "fax_number": "559-797-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDIEH STEFANACCI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "STEFANACCI",
        "authorized_official_first_name": "HEDIEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-797-9000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G81489",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.