Organization Active NPI

Pacific Medicl Center of Hope

  • Specialist
  • Fresno, CA
National Provider Identifier
1720556970
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Nov 6, 2018

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.