Active NPI
Kammi Yap Sayaseng, NP
- Pediatric Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP11636
- Practice address
- 4770 W Herndon Ave
Suite 108
Fresno, CA 93722-8401 - Phone
- (559) 256-7990
- Fax
- (559) 256-7991
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP11636 | CA | Primary |
| Nurse Practitioner | 363L00000X | NP11636 | CA | |
| Registered Nurse | 163W00000X | RN508617 | CA |
Addresses
Primary practice location
4770 W Herndon Ave
Suite 108
Fresno, CA 93722-8401
Mailing address
4770 W Herndon Ave
Suite 108
Fresno, CA 93722-8401
Phone (559) 256-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN508617 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN508617 | CA | MD | Registered Nurse |
| NP11636 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Current | Accepting new patients | |
| Sierra View Local Health Care District | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2066 E Copper Ave
Ste 102
Fresno, CA 93730
Phone (559) 299-2997
2066 E Copper Ave
Ste 104
Fresno, CA 93730
Phone (559) 299-2997
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1962573063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 W HERNDON AVE",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228401",
"telephone_number": "559-256-7990",
"fax_number": "559-256-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 W HERNDON AVE",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228401",
"telephone_number": "559-256-7990",
"fax_number": "559-256-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYASENG",
"first_name": "KAMMI",
"middle_name": "YAP",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP11636",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP11636",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN508617",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN508617",
"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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.