Individual provider Active NPI

Jagdev Singh

  • Otolaryngology Physician
  • Fresno, CA
National Provider Identifier
1699887513
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00A367820 Issued in CA
Practice address
6101 N Fresno St #102 Fresno Ca 93710
Fresno, CA 93710
Phone
(559) 435-5576
Fax
(559) 435-4618
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 00A367820 CA Primary

Addresses

Primary practice location

6101 N Fresno St #102 Fresno Ca 93710
Fresno, CA 93710

Mailing address

6101 N Fresno St #102 Fresno Ca 93710
Fresno, CA 93710
Phone (559) 435-5576

Other identifiers 1

IdentifierTypeStateIssuer
00A367820MedicaidCA

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
I20110214000443 CA Practitioner - Otolaryngology 7315127925 Practice locations: Fresno, CA; Madera, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 N Fresno St
Fresno, CA 93710-8606
Phone (559) 435-5576

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A367820CAMDOtolaryngology Physician
36782CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Community Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Colunga & Lowe Audiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCFBA/Endpoint/FBCFBA

Organizations & group practices 4

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1699887513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N FRESNO ST #102 FRESNO CA 93710",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-435-5576",
            "fax_number": "559-435-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 N FRESNO ST #102 FRESNO CA 93710",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-435-5576",
            "fax_number": "559-435-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JAGDEV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "00A367820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A367820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.