Organization Active NPI

Advanced Specialty Care

  • Cardiovascular Disease Physician
  • Fresno, CA
National Provider Identifier
1730558305
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A77166 Issued in CA
Legal business name
ADVANCED SPECIALTY CARE
Practice address
1681 E. Banwell Lane
Fresno, CA 93730
Phone
(559) 696-1051
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Khoi Le, MDNPI 1629048012
Title
Physician
Phone
(559) 696-1051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A77166 CA Primary

Addresses

Primary practice location

1681 E. Banwell Lane
Fresno, CA 93730

Mailing address

1681 E Banwell LN
Fresno, CA 93730-3595

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1730558305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 E BANWELL LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937303595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 E. BANWELL LANE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93730",
            "telephone_number": "559-696-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHOI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-696-1051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A77166",
            "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 Sep 24, 2015; 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.