Active NPI
Pacific Medicl Center of Hope
- Specialist
- Fresno, CA
National Provider Identifier
1720556970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PACIFIC MEDICL CENTER OF HOPE
- Practice address
- 1680 E Herndon Ave Ste 102
Fresno, CA 93720-3384 - Phone
- (559) 439-5393
- Fax
- (559) 439-5828
- NPI assigned
- Nov 6, 2018
- 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
- Mrs. Shannon Sims
- Title
- Office Manager
- Phone
- (559) 439-5393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1680 E Herndon Ave Ste 102
Fresno, CA 93720-3384
Mailing address
496 Old Newport Blvd Ste 107
Newport Beach, CA 92663-4263
Phone (949) 515-4673
National Provider Directory
National Provider DirectoryLocations
496 Old Newport Blvd
Ste 107
Newport Beach, CA 92663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541462400000",
"number": "1720556970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 OLD NEWPORT BLVD STE 107",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634263",
"telephone_number": "949-515-4673",
"fax_number": "949-515-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E HERNDON AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203384",
"telephone_number": "559-439-5393",
"fax_number": "559-439-5828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC MEDICL CENTER OF HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "559-439-5393",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"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 Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.