NPIMap

Organization Active NPI

Fresno Shields Medical Center Inc

  • General Practice Physician
  • Fresno, CA
National Provider Identifier
1669547345
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FRESNO SHIELDS MEDICAL CENTER INC
Practice address
3030 N Fresno St
Suite # 101
Fresno, CA 93703
Phone
(559) 227-1622
Fax
(559) 227-7668
NPI assigned
Nov 21, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Timothy K Atmajian, MDNPI 1003816141
Title
President Owner
Phone
(559) 227-1622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X CA Primary

Addresses

Primary practice location

3030 N Fresno St
Suite # 101
Fresno, CA 93703

Mailing address

3030 N Fresno St
Suite # 101
Fresno, CA 93703
Phone (559) 227-1622

Other identifiers 1

IdentifierTypeStateIssuer
GR0101280MedicaidCA

National Provider Directory

National Provider Directory

Locations

3030 N Fresno St
Ste 101
Fresno, CA 93703
Phone (509) 999-8055

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1669547345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N FRESNO ST",
            "address_2": "SUITE # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-227-1622",
            "fax_number": "559-227-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N FRESNO ST",
            "address_2": "SUITE # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93703",
            "telephone_number": "559-227-1622",
            "fax_number": "559-227-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO SHIELDS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "ATMAJIAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "559-227-1622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101280",
            "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 Jan 7, 2013; 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.