Individual provider Active NPI

Joseph I Idoni, MPH, PA

  • Medical Physician Assistant
  • Sanger, CA
National Provider Identifier
1841296936
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
14788 Issued in CA
Practice address
2535 Jensen Ave
Sanger, CA 93657-2288
Phone
(559) 876-6070
Fax
(559) 876-6098
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 14788 CA Primary

Addresses

Primary practice location

2535 Jensen Ave
Sanger, CA 93657-2288

Mailing address

2535 Jensen Ave
Sanger, CA 93657-2288
Phone (559) 876-6070

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000960 CA Practitioner - Physician Assistant 3072568278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Classic Urgent Care a Medical CorporationGroup PAC ID 9931461530, 2 clinicians

Practice addresses (Care Compare)

622 Academy Ave
Sanger, CA 93657-2423
Phone (559) 399-8940

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1841296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572288",
            "telephone_number": "559-876-6070",
            "fax_number": "559-876-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572288",
            "telephone_number": "559-876-6070",
            "fax_number": "559-876-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDONI",
        "first_name": "JOSEPH",
        "middle_name": "I",
        "credential": "MPH, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "14788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

Verify at the official NPI Registry.