Pema Medical Spa Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84244 Issued in CA

Legal business name

PEMA MEDICAL SPA INC

Practice address

2335 E Kashian LN
#301
Fresno, CA 93701-2230

Phone

(559) 470-8929

Fax

(559) 272-6041

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Radha Pema, MD

Title

Director

Phone

(559) 470-8929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1871876409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 N SOMMERVILLE DR",
            "address_2": "# 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205477",
            "telephone_number": "559-470-8929",
            "fax_number": "559-272-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN",
            "address_2": "#301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012230",
            "telephone_number": "559-470-8929",
            "fax_number": "559-272-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA MEDICAL SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "PEMA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-470-8929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel A. Pelegrina, MD
• Jay Montgomery Peloian, AMFT
• Dennilyn Garcia-Bobila Pelorin, LVN
• Victoria Pelt
• Caroline Jeanette Peltz
• Diana Laura Pena Villanueva
• Joseangel Pena-Gutierrez
• Abraham E Pena
• Angela V Pena
• Araceli Pena

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.