Organization Active NPI

Anila C. Thampy, M.D., Inc.

  • Pediatric Adolescent Medicine Physician
  • Fresno, CA
National Provider Identifier
1891911269
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A48322 Issued in CA
Legal business name
ANILA C. THAMPY, M.D., INC.
Practice address
1660 E Herndon Ave
Suite 102
Fresno, CA 93720-3359
Phone
(559) 437-9024
Fax
(559) 437-0431
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Anila Thampy, M.D.
Title
Physician
Phone
(559) 284-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X A48322 CA Primary

Addresses

Primary practice location

1660 E Herndon Ave
Suite 102
Fresno, CA 93720-3359

Mailing address

1660 E Herndon Ave
Suite 102
Fresno, CA 93720-3359
Phone (559) 437-9024

Other identifiers 4

IdentifierTypeStateIssuer
00A483220MedicaidCA
078104OtherCAHEATHNET PIN
H02560OtherCABLUECROSS PIN
ZZZ64423ZOtherCABLUE SHIELD PIN

Other names 1

  • Sierra Pediatric Medical Center Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1891911269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203359",
            "telephone_number": "559-437-9024",
            "fax_number": "559-437-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203359",
            "telephone_number": "559-437-9024",
            "fax_number": "559-437-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANILA C. THAMPY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "THAMPY",
        "authorized_official_first_name": "ANILA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-284-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A48322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A483220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHNET PIN",
            "identifier": "078104",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PIN",
            "identifier": "H02560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ64423Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Pediatric Medical Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2010; 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.