Individual provider Active NPI

Jeffrey William Csiszar, M.D.

  • Specialist
  • Hanford, CA
National Provider Identifier
1902807829
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G70471 Issued in CA
Practice address
804 W 7TH St
Hanford, CA 93230-4926
Phone
(559) 587-0330
Fax
(559) 587-0332
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G70471 CA Primary

Addresses

Primary practice location

804 W 7TH St
Hanford, CA 93230-4926

Mailing address

804 W 7TH St
Hanford, CA 93230-4926
Phone (559) 587-0330

Other identifiers 1

IdentifierTypeStateIssuer
00G704710MedicaidCA

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
I20101015000618 CA Practitioner - Urology 9436342003 Receives reassigned benefits from 1 practitioner
Practice locations: Hanford, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70471CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Urology Specialist PastSince Aug 21, 2000 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1902807829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-587-0330",
            "fax_number": "559-587-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-587-0330",
            "fax_number": "559-587-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSISZAR",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G70471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G704710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.