NPIMap

Organization Active NPI

Best Wound and Diabetes Care Inc

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1932546934
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209790 Issued in CA
Legal business name
BEST WOUND AND DIABETES CARE INC
Practice address
2205 N Fresno St
C
Fresno, CA 93703-2210
Phone
(559) 226-1284
Fax
(559) 226-1211
NPI assigned
May 30, 2013
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Khampha Thephavong, D.O.
Title
President/Ceo
Phone
(559) 226-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209790 CA Primary

Addresses

Primary practice location

2205 N Fresno St
C
Fresno, CA 93703-2210

Mailing address

2205 N Fresno St
C
Fresno, CA 93703-2210
Phone (559) 226-1284

National Provider Directory

National Provider Directory

Locations

2205 N Fresno St
Ste C
Fresno, CA 93703
Phone (559) 226-1284

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1932546934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N FRESNO ST",
            "address_2": "C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032210",
            "telephone_number": "559-226-1284",
            "fax_number": "559-226-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N FRESNO ST",
            "address_2": "C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032210",
            "telephone_number": "559-226-1284",
            "fax_number": "559-226-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST WOUND AND DIABETES CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "THEPHAVONG",
        "authorized_official_first_name": "KHAMPHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-226-1284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "209790",
            "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 May 30, 2013; 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.