Active NPI
Community Anesthesia Providers Medical Group, Inc
- Anesthesiology Physician
- Fresno, CA
National Provider Identifier
1679526537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC
- Practice address
- Fresno & R Street
Fresno, CA 93721 - Phone
- (559) 459-6000
- NPI assigned
- May 19, 2006
- 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
- Stephen Yeagle, MD
- Title
- Group President
- Phone
- (559) 459-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
Fresno & R Street
Fresno, CA 93721
Mailing address
PO Box 45123
San Francisco, CA 94145
Phone (209) 956-7725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088281 | Medicaid | CA | |
| 184226100 | Other | CA | US DEPT OF LABOR |
| ZZZ60664Z | Other | CA | BLUE SHIELD OF CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1679526537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45123",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94145",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FRESNO & R STREET",
"city": "FRESNO",
"state": "CA",
"postal_code": "93721",
"telephone_number": "559-459-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "YEAGLE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "GROUP PRESIDENT",
"authorized_official_telephone_number": "559-459-6000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088281",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "184226100",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ60664Z",
"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 Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.