Individual provider Active NPI

Nandini N Narayan, M.D.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1780668046
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50721 Issued in CA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
216322MedicaidSC

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

LicenseStateTypeSpecialty
A50721CAMDPediatrics Physician
21632SCMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.