Active NPI
Paul James Nugent, M.D
- Orthopaedic Surgery Physician
- Fresno, CA
National Provider Identifier
1720034077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G53065
- Practice address
- 8405 N Fresno St
Suite 110
Fresno, CA 93720-1537 - Phone
- (559) 449-7645
- Fax
- (559) 432-1915
- NPI assigned
- May 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G53065 | CA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G53065 | CA |
Addresses
Primary practice location
8405 N Fresno St
Suite 110
Fresno, CA 93720-1537
Mailing address
8405 N Fresno St
Suite 110
Fresno, CA 93720-1537
Phone (559) 449-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53065 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1720034077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 N FRESNO ST",
"address_2": "SUITE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201537",
"telephone_number": "559-449-7645",
"fax_number": "559-432-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 N FRESNO ST",
"address_2": "SUITE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201537",
"telephone_number": "559-449-7645",
"fax_number": "559-432-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "PAUL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G53065",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G53065",
"primary": false
}
],
"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 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.