Individual provider Active NPI

Fred Hisao Nagata, DPM

  • Podiatrist
  • Fresno, CA
National Provider Identifier
1861459216
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2516 Issued in CA
Practice address
1191 E Herndon Ave
Ste 101
Fresno, CA 93720-3164
Phone
(559) 435-3039
Fax
(559) 435-1105
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2516 CA Primary

Addresses

Primary practice location

1191 E Herndon Ave
Ste 101
Fresno, CA 93720-3164

Mailing address

1191 E Herndon
Ste 101
Fresno, CA 93720-3164
Phone (559) 435-3039

Other identifiers 1

IdentifierTypeStateIssuer
000E25160MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000128 CA Practitioner - Podiatry 1355537481 Practice locations: Fresno, CA; Reedley, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1191 E Herndon
Suite 101
Fresno, CA 93720-3164

1191 E Herndon Ave
Suite 101
Fresno, CA 93720-3164
Phone (559) 435-3039

1592 11TH St
Suite B
Reedley, CA 93654-2940
Phone (559) 638-2568

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1380
Removal or shaving of skin growth93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fred H Nagata DPM Inc Podiatrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nagata.fred.p1@direct.ariachc.nextgenshare.com
  • Direct secure messaging: fnagata3103328@direct.trinity-health.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1861459216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-435-3039",
            "fax_number": "559-435-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-435-3039",
            "fax_number": "559-435-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGATA",
        "first_name": "FRED",
        "middle_name": "HISAO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E25160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.