Individual provider Active NPI

Vasanth M Vishwanath, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1891809968
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G077810 Issued in CA
Practice address
7075 N Maple Ave
102
Fresno, CA 93720-8014
Phone
(559) 299-8889
Fax
(559) 299-9944
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G077810 CA Primary

Addresses

Primary practice location

7075 N Maple Ave
102
Fresno, CA 93720-8014

Mailing address

7075 N Maple Ave
102
Fresno, CA 93720-8014
Phone (559) 299-8889

Other identifiers 1

IdentifierTypeStateIssuer
00G778100MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000896 CA Practitioner - Obstetrics/Gynecology 2365517117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7075 N Maple Ave
Suite 102
Fresno, CA 93720-8014
Phone (559) 299-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G077810CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vasanth M Vishwanath M.D. Inc Obstetrics & Gynecology CurrentSince Jun 1, 2007 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

7075 N Maple Ave
Ste 102
Fresno, CA 93720
Phone (559) 299-8800

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1891809968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N MAPLE AVE",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208014",
            "telephone_number": "559-299-8889",
            "fax_number": "559-299-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N MAPLE AVE",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208014",
            "telephone_number": "559-299-8889",
            "fax_number": "559-299-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHWANATH",
        "first_name": "VASANTH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G077810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G778100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.