Active NPI
Kenneth Shinji Kishihara, O.T.
- Hand Occupational Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT3030
- Practice address
- 7120 N Whitney Ave
Suite 102
Fresno, CA 93720-0153 - Phone
- (559) 323-4831
- Fax
- (559) 323-4815
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT3030 | CA | Primary |
Addresses
Primary practice location
7120 N Whitney Ave
Suite 102
Fresno, CA 93720-0153
Mailing address
47900 Willow Pond Rd
Coarsegold, CA 93614-8720
Phone (559) 683-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 290-7051
2335 E Kashian LN
Fresno, CA 93701-2234
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3030 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Sierra Pacific Orthopaedic Center Medical Group Inc | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Sierra Pacific Orthopaedic Center Medical Group, Inc. | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients |
Locations
1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
Interoperability endpoints
- kenneth.kishihara.p1@direct.spocortho.nextgenshare.com
Organizations & group practices 6
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.
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Specialist
- Fresno, CA
- NPI 1285669655
-
- Rehabilitation Clinic/Center
- Fresno, CA
- NPI 1235486754
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1003329491
-
dba Sante' Foundation Medical Group
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Specialist
- Fresno, CA
- NPI 1669967311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1679771638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47900 WILLOW POND RD",
"city": "COARSEGOLD",
"state": "CA",
"postal_code": "936148720",
"telephone_number": "559-683-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 N WHITNEY AVE",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200153",
"telephone_number": "559-323-4831",
"fax_number": "559-323-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHIHARA",
"first_name": "KENNETH",
"middle_name": "SHINJI",
"name_prefix": "Mr.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT3030",
"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 Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.