Individual provider Active NPI

Negin Hatami, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1699353177
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A196331 Issued in CA
Practice address
1660 E Herndon Ave Ste 101
Fresno, CA 93720-3346
Phone
(718) 869-7672
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A196331 CA Primary

Addresses

Primary practice location

1660 E Herndon Ave Ste 101
Fresno, CA 93720-3346

Mailing address

1660 E Herndon Ave Ste 101
Fresno, CA 93720-3346
Phone (718) 869-7672

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7672

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
I20240715002933 CA Practitioner - Internal Medicine 7911442934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arya Medical Group CorpGroup PAC ID 0244536894, 23 clinicians
American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

Hospital & facility affiliations

  • Madera Community Hospital Hospital, Madera, CA, CCN 050856
  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196331CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arya Medical Group Corp CurrentSince Jul 1, 2024 Accepting new patients
American Specialty Physicians Group Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Arya Medical Group Corp Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

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

1660 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 424-0610

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

121 Belmont Ave
Ste 100
Mendota, CA 93640
Phone (559) 424-0610

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1699353177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203346",
            "telephone_number": "718-869-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203346",
            "telephone_number": "718-869-7672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATAMI",
        "first_name": "NEGIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.