Organization Active NPI

Eternity Health Care Inc

  • General Practice Physician
  • Fresno, CA
National Provider Identifier
1912221748
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C24147 Issued in CA
Legal business name
ETERNITY HEALTH CARE INC
Practice address
3742 N 1St St
Fresno, CA 93726-5601
Phone
(559) 229-2459
Fax
(559) 229-2936
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Gilbert D Callis, MD
Title
Ceo
Phone
(559) 229-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C24147 CA Primary

Addresses

Primary practice location

3742 N 1St St
Fresno, CA 93726-5601

Mailing address

3742 N 1St St
Fresno, CA 93726-5601
Phone (559) 229-2459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1912221748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-229-2459",
            "fax_number": "559-229-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-229-2459",
            "fax_number": "559-229-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-229-2459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C24147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 23, 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.