Active NPI
Hebah Ghanem, MD
- Infectious Disease Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A158819
- Practice address
- 2335 E Kashian LN Ste 280
Fresno, CA 93701-2211 - Phone
- (559) 320-1090
- Fax
- (559) 320-0331
- NPI assigned
- Jul 16, 2018
- Last updated
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A158819 | CA | |
| Infectious Disease Physician | 207RI0200X | A158819 | CA | Primary |
Addresses
Primary practice location
2335 E Kashian LN Ste 280
Fresno, CA 93701-2211
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2335 E Kashian LN
Suite 280
Fresno, CA 93701-2211
Phone (559) 320-1090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A158819 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Faculty Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| University Faculty Associates , Inc. | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
155 N Fresno St
Fresno, CA 93701
Phone (559) 499-6440
2315 E Illinois Ave
Fresno, CA 93701
Phone (559) 459-4243
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935
Interoperability endpoints
- hebah.ghanem.1@17661.direct.athenahealth.com
- hebah.ghanem.1@31788.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1881092963
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1750867453",
"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",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 E KASHIAN LN STE 280",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012211",
"telephone_number": "559-320-1090",
"fax_number": "559-320-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "HEBAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A158819",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A158819",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "155 N Fresno St",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937012302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
- Samia Abdul Ghaffar, MD
- Mary C Ghaffari, PHARM.D.
- Jetinder Singh Ghag
- M Mehdi Ghajarnia, MD
- Albert Ghaly
- Dinora Ghannam
- Ghazal and Lambridis Dental Corporation (Marketplace Smiles Dentistry Dental Group)
- Ghazal Gill and Lambridis Dental Corporation (Fig Garden Dental Group)
- Tadeh Ghazarian
- GHC of Fresno LLC (Horizon Health & Sub-Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.