Active NPI
Prashanth Sashikan Navaran, M.D.
- Surgery Physician
- Fresno, CA
National Provider Identifier
1811905599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0064401
- Practice address
- 2615 E Clinton Ave
Department of Surgery, VA Fresno
Fresno, CA 93703-2223 - Phone
- (759) 228-5366
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0064401 | MD | Primary |
Addresses
Primary practice location
2615 E Clinton Ave
Department of Surgery, VA Fresno
Fresno, CA 93703-2223
Mailing address
2615 E Clinton Ave
Department of Surgery, VA Fresno
Fresno, CA 93703-2223
Phone (759) 228-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130521000545 | CA | Order and Referring Only - General Surgery | 7719986215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064401 | MD | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355616000000",
"number": "1811905599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 E CLINTON AVE",
"address_2": "DEPARTMENT OF SURGERY, VA FRESNO",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032223",
"telephone_number": "759-228-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 E CLINTON AVE",
"address_2": "DEPARTMENT OF SURGERY, VA FRESNO",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032223",
"telephone_number": "759-228-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARAN",
"first_name": "PRASHANTH",
"middle_name": "SASHIKAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0064401",
"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 Dec 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.