Organization Active NPI

Pam K. Janda, M.D., Inc.

  • Specialist
  • Fresno, CA
National Provider Identifier
1871769893
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37511 Issued in CA
Legal business name
PAM K. JANDA, M.D., INC.
Practice address
6045 N 1St St Ste 103
Fresno, CA 93710-5444
Phone
(559) 449-8200
Fax
(559) 449-8217
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Pam K. Janda, M.D.NPI 1912994237
Title
Owner
Phone
(559) 449-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A37511 CA Primary

Addresses

Primary practice location

6045 N 1St St Ste 103
Fresno, CA 93710-5444

Mailing address

6045 N 1St St Ste 103
Fresno, CA 93710-5444
Phone (559) 449-8200

Other identifiers 1

IdentifierTypeStateIssuer
00A375110MedicaidCA

National Provider Directory

National Provider Directory

Locations

6045 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 449-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1871769893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105444",
            "telephone_number": "559-449-8200",
            "fax_number": "559-449-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105444",
            "telephone_number": "559-449-8200",
            "fax_number": "559-449-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM K. JANDA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "JANDA",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-449-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A375110",
            "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 Apr 30, 2008; 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.