Individual provider Active NPI

Oganes Shishikyan

  • Private Vehicle
  • Fresno, CA
National Provider Identifier
1770938110
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
7LVE023 Issued in CA
Practice address
479 E San Ramon Ave
Fresno, CA 93710-6824
Phone
(559) 341-5777
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 7LVE023 CA Primary

Addresses

Primary practice location

479 E San Ramon Ave
Fresno, CA 93710-6824

Mailing address

479 E San Ramon Ave
Fresno, CA 93710-6824
Phone (559) 341-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7LVE023CAMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1770938110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 E SAN RAMON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106824",
            "telephone_number": "559-341-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 E SAN RAMON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106824",
            "telephone_number": "559-341-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHIKYAN",
        "first_name": "OGANES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "7LVE023",
            "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 May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.