Bella Bod Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BELLA BOD INC

Practice address

1300 N Fresno St Ste 220
Fresno, CA 93703-3843

Phone

(559) 495-6707

Fax

(559) 495-6782

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Irma Yolanda Castro, MD

Title

MD

Phone

(559) 495-6707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1801467063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N FRESNO ST STE 220",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033843",
            "telephone_number": "559-495-6707",
            "fax_number": "559-495-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N FRESNO ST STE 220",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033843",
            "telephone_number": "559-495-6707",
            "fax_number": "559-495-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA BOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "559-495-6707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.