Organization Active NPI

California Neurological Surgery

  • Neurological Surgery Physician
  • Fresno, CA
National Provider Identifier
1972648160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G80285 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G802850MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.