Organization Active NPI

John F Kirby MD PC

  • Physical Medicine & Rehabilitation Physician
  • Fresno, CA
National Provider Identifier
1861603680
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G15922 Issued in CA
Legal business name
JOHN F KIRBY MD PC
Practice address
5680 N Fresno St
Suite 107
Fresno, CA 93710-8331
Phone
(559) 435-1800
Fax
(559) 432-6435
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Barbara Carlisle
Title
Office Manager
Phone
(559) 435-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G15922 CA Primary

Addresses

Primary practice location

5680 N Fresno St
Suite 107
Fresno, CA 93710-8331

Mailing address

5680 N Fresno St
Suite 107
Fresno, CA 93710-8331
Phone (559) 435-1800

Other identifiers 1

IdentifierTypeStateIssuer
00G159220MedicaidCA

National Provider Directory

National Provider Directory

Locations

5680 N Fresno St
Ste 107
Fresno, CA 93710
Phone (559) 435-1800

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1861603680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-435-1800",
            "fax_number": "559-432-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-435-1800",
            "fax_number": "559-432-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F KIRBY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-435-1800"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G15922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G159220",
            "state": "CA"
        }
    ],
    "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 Jul 24, 2007; 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.