Active NPI
Jeffrey William Csiszar, M.D.
- Specialist
- Hanford, CA
National Provider Identifier
1902807829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G70471
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G704710 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70471 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Urology | Specialist | Past | 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.
-
- Nurse Practitioner
- Hanford, CA
- NPI 1699800383
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.