NPIMap

Individual provider Active NPI

Pam K Janda, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1912994237
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37511 Issued in CA
Practice address
7078 N. Maple Ave
Ste 101
Fresno, CA 93720-8023
Phone
(559) 449-8200
Fax
(559) 449-1227
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A37511 CA Primary

Addresses

Primary practice location

7078 N. Maple Ave
Ste 101
Fresno, CA 93720-8023

Mailing address

7078 N. Maple Ave
Ste 101
Fresno, CA 93720-8023
Phone (559) 449-8200

Other identifiers 1

IdentifierTypeStateIssuer
00A375110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000234 CA Practitioner - Internal Medicine 2769447010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pam K Janda M D Inc a Professional CorporationGroup PAC ID 1951475169, 2 clinicians

Practice addresses (Care Compare)

7078 N Maple Ave
Suite 101
Fresno, CA 93720-8023
Phone (559) 449-8200

Hospital & facility affiliations

  • Saint Agnes Home Health and Hospice Home health agency, Fresno, CA, CCN 057135
  • St Mary'S Home Health Services, Inc Home health agency, Fresno, CA, CCN 058195
  • Kure Home Health Home health agency, Clovis, CA, CCN 559543
  • Blossom Home Health Home health agency, Fresno, CA, CCN 559766
  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A37511CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pam K Janda M D Inc a Professional Corporation Internal Medicine CurrentSince Nov 7, 1983 Accepting new patients
Pam K. Janda, M.D., Inc. Current Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

7078 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 449-8200

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1912994237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7078 N. MAPLE AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208023",
            "telephone_number": "559-449-8200",
            "fax_number": "559-449-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7078 N. MAPLE AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208023",
            "telephone_number": "559-449-8200",
            "fax_number": "559-449-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDA",
        "first_name": "PAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A375110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.