Organization Active NPI

John R. Nelson M.D. Inc.

  • Cardiovascular Disease Physician
  • Fresno, CA
National Provider Identifier
1770122871
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Jan 6, 2020

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20200108000056 CA Part B Supplier - Clinic/Group Practice 3476987058 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.