Individual provider Active NPI

Kauly Cha, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1952866568
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011082 Issued in CA
Practice address
4011 N Marks Ave
Fresno, CA 93722-4555
Phone
(559) 860-4925
NPI assigned
Feb 7, 2019
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011082 CA Primary

Addresses

Primary practice location

4011 N Marks Ave
Fresno, CA 93722-4555

Mailing address

4011 N Marks Ave
Fresno, CA 93722-4555
Phone (559) 860-4925

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001731 CA Practitioner - Nurse Practitioner 9133457146 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011082CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Mar 8, 2023 Accepting new patients
Camarena Health CurrentSince Mar 8, 2023 Accepting new patients
California Dreams Medical Corporation PC CurrentSince Dec 18, 2022 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 29, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 29, 2024 Accepting new patients
JKW Healthcare CurrentSince Dec 30, 2023 Accepting new patients
Camarena Health Family Current Accepting new patients
Greater Fresno Health Organization Inc. Past Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

7455 N Fresno St
Ste 202
Fresno, CA 93720
Phone (559) 942-1223

760 E Almond Ave
Madera, CA 93637

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1952866568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-860-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-860-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "KAULY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.