Individual provider Active NPI

Joginder S Matharu, M.D.

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1750498408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A28563 Issued in CA
Practice address
1383 E Herndon Ave
Suite 102
Fresno, CA 93720-3302
Phone
(559) 449-8004
Fax
(559) 449-8037
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A28563 CA Primary

Addresses

Primary practice location

1383 E Herndon Ave
Suite 102
Fresno, CA 93720-3302

Mailing address

1383 E Herndon Ave
Suite 102
Fresno, CA 93720-3302
Phone (559) 449-8004

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
I20120710000201 CA Practitioner - Obstetrics/Gynecology 3375531874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A28563CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Foundation Obstetrics & Gynecology CurrentSince Dec 15, 2019 Accepting new patients
Cal Family Health, Inc. PastSince Sep 4, 2004 Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1383 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 449-8004

1383 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 449-8004

Interoperability endpoints

  • Direct secure messaging: joginder.matharu.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750498408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-449-8004",
            "fax_number": "559-449-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-449-8004",
            "fax_number": "559-449-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHARU",
        "first_name": "JOGINDER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A28563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.