Individual provider Active NPI

Erica Ann Delsman, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1750657177
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A129141 Issued in CA
Practice address
290 N Wayte LN
Fresno, CA 93701-2124
Phone
(559) 459-5700
Fax
(559) 459-6109
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A129141 CA Primary

Addresses

Primary practice location

290 N Wayte LN
Fresno, CA 93701-2124

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20170731003601 AK Practitioner - Family Practice 7618265133 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129141CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Seward Family Medicine Current Accepting new patients
Bartlett Regional Hospital CurrentSince Nov 1, 2017 Accepting new patients
City of Seward CurrentSince Sep 1, 2017 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 16, 2020 Accepting new patients
Yukon-Kuskokwim Health Corporation Past Accepting new patients

Locations

1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/663c4c6d-1396-44a4-b589-c11a968d4876/

Organizations & group practices 5

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1750657177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N WAYTE LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012124",
            "telephone_number": "559-459-5700",
            "fax_number": "559-459-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSMAN",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A129141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.