Individual provider Active NPI

Peter Theodore Nassar, M.D.

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1669498622
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A80372 Issued in CA
Practice address
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone
(559) 450-3000
Fax
(559) 450-7472
NPI assigned
Jul 14, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A80372 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

6121 N Thesta St
Suite 303
Fresno, CA 93710-8603
Phone (559) 450-2300

Other identifiers 1

IdentifierTypeStateIssuer
00A803720MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001577 CA Practitioner - Obstetrics/Gynecology 9739161837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
Camarena HealthGroup PAC ID 4880584317, shared by 24 NPIs, 79 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

7202 N Millbrook Ave
Fresno, CA 93720-3341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80372CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Current Accepting new patients
Peter Nassar M.D., Inc Obstetrics & Gynecology Current Accepting new patients
Saint Agnes Medical Foundation Obstetrics & Gynecology CurrentSince Jan 1, 2017 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Camarena Health Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Camarena Health PastSince Jan 26, 2022 Accepting new patients
Central California Faculty Medical Group, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672

1377 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 450-7455

6121 N Thesta St
Ste 303
Fresno, CA 93710
Phone (559) 450-2300

7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300

Interoperability endpoints

  • Direct secure messaging: peter.nassar.1@25900.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1669498622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "SUITE 303",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-450-2300",
            "fax_number": "559-450-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-3000",
            "fax_number": "559-450-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "PETER",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A80372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.