Active NPI
Augustine Irabor
- Registered Nurse
- Fresno, CA
National Provider Identifier
1659555118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 694851
- Practice address
- 1225 M St
Correctional Health, 2ND Floor
Fresno, CA 93721-1805 - Phone
- (559) 442-2404
- Fax
- (559) 444-2527
- NPI assigned
- Dec 19, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 694851 | CA | Primary |
Addresses
Primary practice location
1225 M St
Correctional Health, 2ND Floor
Fresno, CA 93721-1805
Mailing address
PO Box 11867
Correctional Health Division
Fresno, CA 93775-1867
Phone (559) 445-3249
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694851 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1659555118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11867",
"address_2": "CORRECTIONAL HEALTH DIVISION",
"city": "FRESNO",
"state": "CA",
"postal_code": "937751867",
"telephone_number": "559-445-3249",
"fax_number": "559-445-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 M ST",
"address_2": "CORRECTIONAL HEALTH, 2ND FLOOR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-442-2404",
"fax_number": "559-444-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRABOR",
"first_name": "AUGUSTINE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "694851",
"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 4, 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.