Nicole Tere Banh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A93159 Issued in CA

Practice address

7055 N Chestnut Ave Ste 106
Fresno, CA 93720-0350

Phone

(559) 797-4400

Fax

(559) 797-4401

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole T Birmingham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chestnut Pediatrics

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1164865291
  NPD (past) Authorized official
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  NPD (past)
• Valley Children'S Specialty Medical Group, Inc.

  • Pediatrics Physician
  • Madera, CA
  • NPI 1013968296
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1982808846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 N CHESTNUT AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200350",
            "telephone_number": "559-797-4400",
            "fax_number": "559-797-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N CHESTNUT AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200350",
            "telephone_number": "559-797-4400",
            "fax_number": "559-797-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N Wayte Ln Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012124",
            "country_code": "US",
            "telephone_number": "866-342-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANH",
        "first_name": "NICOLE",
        "middle_name": "TERE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BIRMINGHAM",
            "middle_name": "T",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kavya Bangalore Madhusudhan, M.D.
• Kenneth Bangs, NP
• Lillarose Bangs
• Allan Banh
• Kenny Vinh Banh, M.D.
• Banigo Behavioral Health Group PHD
• Ashkon Shaheen Banihashemi
• Ashley Banks, RN
• Kalila Deniece Banks, PA-C
• Michelle Banks

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.