Individual provider Active NPI

Kawana Idali Chester, FNP

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1760021380
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F10191200 Issued in CA
Practice address
5765 N Fresno St Ste 105
Fresno, CA 93710-6092
Phone
(559) 389-0622
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 F10191200 CA Primary

Addresses

Primary practice location

5765 N Fresno St Ste 105
Fresno, CA 93710-6092

Mailing address

1422 N Elizabeth Dr
Hanford, CA 93230-8208
Phone (559) 916-2307

Other names 1

  • Kawana Idali Chester Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426002740 CA Practitioner - Nurse Practitioner 9133516966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

2071 E Herndon
Clovis, CA 93611-6101
Phone (559) 324-5100

Hospital & facility affiliations

  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10191200CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Mar 1, 2022 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1760021380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 N ELIZABETH DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932308208",
            "telephone_number": "559-916-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 N FRESNO ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106092",
            "telephone_number": "559-389-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTER",
        "first_name": "KAWANA",
        "middle_name": "IDALI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "F10191200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAWANA",
            "last_name": "CHESTER",
            "middle_name": "IDALI",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.