Individual provider Active NPI

Omar Fouad Hanafy, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1972180073
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A193367 Issued in CA
Practice address
7145 N Chestnut Ave Ste 101
Fresno, CA 93720-0359
Phone
(559) 603-7270
Fax
(559) 603-7271
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A193367 CA Primary

Addresses

Primary practice location

7145 N Chestnut Ave Ste 101
Fresno, CA 93720-0359

Mailing address

PO Box 889442
Los Angeles, CA 90088-9442

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620002768 CA Practitioner - Pediatric Medicine 7810430642 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193367CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Sep 15, 2025 Accepting new patients
University Faculty Associates, Inc. Pediatrics CurrentSince Aug 5, 2024 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

7145 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 299-1178

155 N Fresno St
Fresno, CA 93701
Phone (559) 499-6440

290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 3

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1972180073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200359",
            "telephone_number": "559-603-7270",
            "fax_number": "559-603-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFY",
        "first_name": "OMAR",
        "middle_name": "FOUAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A193367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.