Organization Active NPI

Yannis M Stavropoulos MD Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1942394754
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A35642 Issued in CA
Legal business name
YANNIS M STAVROPOULOS MD INC
Practice address
6061 N 1St St
Suite 101
Fresno, CA 93710-5470
Phone
(559) 449-7668
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Yannis M Stavropoulos, M.D.
Title
President
Phone
(559) 449-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A35642 CA Primary

Addresses

Primary practice location

6061 N 1St St
Suite 101
Fresno, CA 93710-5470

Mailing address

6061 N 1St St
Suite 101
Fresno, CA 93710-5470
Phone (559) 449-7668

Other identifiers 1

IdentifierTypeStateIssuer
A35642OtherCAMED BOARD CA LIC NO

National Provider Directory

National Provider Directory

Locations

6061 N 1st St
Ste 101
Fresno, CA 93710
Phone (559) 449-7668

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1942394754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105470",
            "telephone_number": "559-449-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105470",
            "telephone_number": "559-449-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANNIS M STAVROPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "STAVROPOULOS",
        "authorized_official_first_name": "YANNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-449-7668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED BOARD CA LIC NO",
            "identifier": "A35642",
            "state": "CA"
        }
    ],
    "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 Jan 14, 2009; 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.