Active NPI
California Neurological Surgery
- Neurological Surgery Physician
- Fresno, CA
National Provider Identifier
1972648160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G80285
- Legal business name
- CALIFORNIA NEUROLOGICAL SURGERY
- Practice address
- 1111 East Herndon Ave
Suite 209
Fresno, CA 93720 - Phone
- (559) 435-0770
- Fax
- (559) 435-7126
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katherine Fassnacht Dogali
- Title
- Admin Assist
- Phone
- (559) 999-0385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G80285 | CA | Primary |
Addresses
Primary practice location
1111 East Herndon Ave
Suite 209
Fresno, CA 93720
Mailing address
1111 East Herndon Ave
Suite 209
Fresno, CA 93720
Phone (559) 435-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G802850 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1111 E Herndon Ave
Ste 209
Fresno, CA 93720
Phone (559) 435-0770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgical Physician Assistant
- Fresno, CA
- NPI 1972674174
-
- Neurological Surgery Physician
- Irvine, CA
- NPI 1184645665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972648160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EAST HERNDON AVE",
"address_2": "SUITE 209",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-435-0770",
"fax_number": "559-435-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 EAST HERNDON AVE",
"address_2": "SUITE 209",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-435-0770",
"fax_number": "559-435-7126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA NEUROLOGICAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOGALI",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "FASSNACHT",
"authorized_official_title_or_position": "ADMIN ASSIST",
"authorized_official_telephone_number": "559-999-0385",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G80285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G802850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- California Medical Transportation, LLC
- California Mental Health
- California Mental Health and Psychology Center Inc
- California Mobile Imaging LLC
- California Nephrology Consultants
- California Oncology of the Central Valley Medical Group Inc
- California Pain Rehabilitation Institute
- California Pediatric Anesthesia Consultants
- California Physicians Group, PC
- California Psychological Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.