Organization Active NPI

First Pediatrics Medical Group, Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1891131298
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C54039 Issued in CA
Legal business name
FIRST PEDIATRICS MEDICAL GROUP, INC
Practice address
7413 N Cedar Ave
Ste 101
Fresno, CA 93720-3833
Phone
(559) 435-1500
Fax
(559) 478-5082
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Mydili Rani Maniam-Mohan, MDNPI 1093903262
Title
President/Ceo
Phone
(559) 435-1500

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 C54039 CA Primary

Addresses

Primary practice location

7413 N Cedar Ave
Ste 101
Fresno, CA 93720-3833

Mailing address

7413 N Cedar Ave Ste 101
Fresno, CA 93720-3833
Phone (559) 435-1500

National Provider Directory

National Provider Directory

Locations

7413 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 261-1111

6255 N Fresno St
Ste 106
Fresno, CA 93710
Phone (209) 432-6795

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": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1891131298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-435-1500",
            "fax_number": "559-478-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-435-1500",
            "fax_number": "559-478-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PEDIATRICS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "MANIAM-MOHAN",
        "authorized_official_first_name": "MYDILI",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-435-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C54039",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 5, 2025; 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.