Ketsana Vilaysane MD, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KETSANA VILAYSANE MD, INC.

Practice address

6183 N Fresno St Ste 101
Fresno, CA 93710-8611

Phone

(559) 432-5003

Fax

(559) 432-5008

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ketsana Vilaysane, M.D

Title

President

Phone

(559) 432-5003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1902061815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108611",
            "telephone_number": "559-432-5003",
            "fax_number": "559-432-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6183 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108611",
            "telephone_number": "559-432-5003",
            "fax_number": "559-432-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETSANA VILAYSANE MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "VILAYSANE",
        "authorized_official_first_name": "KETSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kesl-Tahan
• Michael Edward Kesselman, CATC III
• Michael Seth Kesselman, PHD
• Nancy Kessler
• Lily Kesterson
• Erika Kettelhut, DO
• Brian Robert Kettner, PT
• Edan Michael Keven
• Kenna Coleen Key
• Melissa Martinez Key

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.