Active NPI
Nandini N Narayan, M.D.
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1780668046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A50721
- Practice address
- 1225 M. Street
Correctional Health, 2ND Floor
Fresno, CA 93721-1805 - Phone
- (559) 442-2404
- Fax
- (559) 442-5277
- NPI assigned
- Nov 30, 2005
- Last updated
- Oct 24, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21632 | SC | |
| Pediatrics Physician | 208000000X | A50721 | CA | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | 21632 | SC |
Addresses
Primary practice location
1225 M. Street
Correctional Health, 2ND Floor
Fresno, CA 93721-1805
Mailing address
P.O. Box 11867
Correctional Health Division
Fresno, CA 93775-1867
Phone (559) 600-3229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216322 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50721 | CA | MD | Pediatrics Physician |
| 21632 | SC | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children's Specialty Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| University Pediatrics | Pediatrics | Past | Accepting new patients |
| County of Fresno | Past | Accepting new patients | |
| University Specialty Clinics - University Primary Care | Past | Accepting new patients | |
| County of Fresno | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1780668046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 11867",
"address_2": "CORRECTIONAL HEALTH DIVISION",
"city": "FRESNO",
"state": "CA",
"postal_code": "937751867",
"telephone_number": "559-600-3229",
"fax_number": "559-445-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 M. STREET",
"address_2": "CORRECTIONAL HEALTH, 2ND FLOOR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-442-2404",
"fax_number": "559-442-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYAN",
"first_name": "NANDINI",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "21632",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A50721",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "SC",
"license": "21632",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216322",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Narala & Madireddy MD a Professional Corporation (Internal Medicine and Pediatrics Medical Group)
- Narala and Madireddy MD a Professional Corporation (Internal Medicine and Pediatrics Medical Group)
- Madhava Reddy Narala, M.D.
- Jose Luis Naranjo
- Rocio Patricia Naranjo, P.A.
- Alessia Nardocci
- Chinnapa Reddy Nareddy, M.D
- Suchith Reddy Nareddy, MD
- Swapna Reddy Narra, MBBS, MD
- Christine Narvaez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.