Active NPI
John R. Nelson M.D. Inc.
- Cardiovascular Disease Physician
- Fresno, CA
National Provider Identifier
1770122871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- JOHN R. NELSON M.D. INC.
- Practice address
- 7061 N Whitney Ave Ste 101
Fresno, CA 93720-8025 - Phone
- (559) 299-0224
- Fax
- (559) 299-4201
- NPI assigned
- Jan 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lupe Garcia
- Title
- Ma
- Phone
- (559) 299-0224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
7061 N Whitney Ave Ste 101
Fresno, CA 93720-8025
Mailing address
7061 N Whitney Ave Ste 101
Fresno, CA 93720-8025
Phone (559) 299-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7061 N Whitney Ave
Ste 101
Fresno, CA 93720
Phone (559) 299-0224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1770122871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7061 N WHITNEY AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208025",
"telephone_number": "559-299-0224",
"fax_number": "559-299-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 N WHITNEY AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208025",
"telephone_number": "559-299-0224",
"fax_number": "559-299-4201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R. NELSON M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "LUPE",
"authorized_official_title_or_position": "MA",
"authorized_official_telephone_number": "559-299-0224"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"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 Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.