Individual provider Active NPI

Isabelo Santos Artacho, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Fresno, CA
National Provider Identifier
1962413229
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A46129 Issued in CA
Practice address
6323 N Fresno Street
Ste # 104
Fresno, CA 93710-5282
Phone
(559) 227-7141
Fax
(559) 227-7130
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A46129 CA Primary

Addresses

Primary practice location

6323 N Fresno Street
Ste # 104
Fresno, CA 93710-5282

Mailing address

6323 N Fresno Street
Ste # 104
Fresno, CA 93710-5282
Phone (559) 227-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46129CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1962413229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N FRESNO STREET",
            "address_2": "STE # 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105282",
            "telephone_number": "559-227-7141",
            "fax_number": "559-227-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N FRESNO STREET",
            "address_2": "STE # 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105282",
            "telephone_number": "559-227-7141",
            "fax_number": "559-227-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTACHO",
        "first_name": "ISABELO",
        "middle_name": "SANTOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A46129",
            "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 Jul 9, 2015; 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.